NPI | 1073111746 |
---|---|
Entity Type | Organization |
Authorized Contact | MESSINA M. MICHALSKY Owner 406-861-6328 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |