| NPI | 1104654524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVEN DUUS ROBINSON Owner 406-531-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |