| NPI | 1073111746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESSINA M. MICHALSKY Owner 406-861-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-12-06 |