| NPI | 1134525215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A WOJCIECHOWSKI Lcsw 406-459-5829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT SWPLCSWLIC8431) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |