NPI | 1205041621 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER SHOW Chief Health Officer 406-353-3246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical | |
103TH0004X Psychologist, Health | |
133V00000X Dietitian, Registered | |
251K00000X Public Health or Welfare | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2023-09-05 |