| NPI | 1093259137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L. GILLISPIE Owner 406-529-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 964) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-12 |