| NPI | 1154174837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY GERVAIS Owner 406-546-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-06-12 |