| NPI | 1225106842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CUMMINS Exective Director 406-756-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-06-09 |