| NPI | 1205390861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA OLSON Owner 406-274-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-03-05 |