| NPI | 1114293354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR STAMPLEY President 406-728-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 162LCSW) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-06-15 |