| NPI | 1164849139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MATTA President 406-969-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 874) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |