| NPI | 1205967007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN J ANDROES General Partner 406-752-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 34) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MT 008385) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-03-23 |