| NPI | 1093162257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENI LEIGH NICHOLS Licensed Addiction Counselor 406-299-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |