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