| NPI | 1144781212 |
|---|---|
| Doing Business As | MRS. |
| Entity Type | Organization |
| Authorized Contact | LISA MATOVICH-BROOKE Owner 406-672-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-06-11 |