| NPI | 1124584578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CHARLES RICHARDSON Licensed Addiction Counselor 406-783-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |