| NPI | 1174907885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN A TRUCANO Individual And Family Therapist 406-992-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT BBH-LCPC-LIC-9297) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2016-01-15 |