| NPI | 1164103552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LOUIS KRONENBERGER Managing Member 406-219-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |