| NPI | 1073877742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. CARTY Director 406-822-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-07-01 |