| NPI | 1205284999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BARTKOWIAK Owner 406-640-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MT 4673) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: MT 4673) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |