| NPI | 1093036600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERA LEANN KINGHORN Therapist 406-560-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT LCSW28967) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |