| NPI | 1073011011 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HANNAH DELLWO Owner 406-439-4156  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-26913)  | 
| Enumeration Date | 2018-01-24 | 
| Last Update Date | 2018-01-24 |