| NPI | 1114516135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE PETTIT Owner 406-531-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-12-15 |