| NPI | 1174703474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AF VAN MARLE President 406-363-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 227) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |