| NPI | 1104423185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RAE MCNABB Licensed Clinical Professional Coun 406-249-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-12-11 |