| NPI | 1134868573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN HENDERSON Owner 406-240-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-04-12 |