| NPI | 1154625382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBERT EAGLEFEATHERS Executive Director 406-782-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MT 225-11) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |