| NPI | 1215126289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LEA CARR Owner 406-212-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 617LCSW) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-09-10 |