| NPI | 1194039370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIE KELLY Owner 406-558-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 907) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1444) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |