| NPI | 1124405816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY K VAUGHN Owner/Therapist 406-996-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2019-08-09 |