| NPI | 1134678709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R FEATHERSTONE Owner/Clinical Director 406-599-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 12176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3635) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2017-01-31 |