| NPI | 1194822049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S. WILSON President 406-586-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MT 8315) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-17 |