| NPI | 1124435730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRI JAN MATNEY Director 406-599-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 326) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-01-04 |