| NPI | 1104597939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HAWKINS Executive Director 406-296-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |