| NPI | 1174278741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDA HOLST Owner 406-697-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-09-08 |