| NPI | 1144810268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE M STIMPFLING Authorized Official 406-788-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |