| NPI | 1134660525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JOAN FORAN Owner 406-540-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |