| NPI | 1083053367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE BERTRAM Owner 406-491-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT NURRNLIC67645) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |