| NPI | 1205654209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY BANKS Medical Directory 406-296-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |