| NPI | 1124308846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN M NELSON Director 406-240-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT SWP LCPC LIC 1393) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-859) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2013-12-17 |