| NPI | 1073142717 |
|---|---|
| Doing Business As | TOMMIE L. PERUSICH, PMHNP-BC |
| Entity Type | Organization |
| Authorized Contact | DARREN A HOFFMAN General Manager / Billing 406-646-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2023-08-15 |