| NPI | 1215552773 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENISE BELT Compliance/Billing Manager 406-897-2788 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2020-06-10 | 
| Last Update Date | 2020-07-21 |