| NPI | 1114192440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES I NEWELL Owner 406-259-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1170 LCPC) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2009-11-13 |