| NPI | 1205042355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN MARIE HANSON Director 406-741-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-07-22 |