NPI | 1154644318 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY KALANA CREEK Owner 406-282-3696 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT BBH-LCPC-LIC-9676) |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2010-03-02 |
Last Update Date | 2016-09-12 |