| NPI | 1104326974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE BLACKWELL Director 406-201-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-03-17 |