| NPI | 1225347669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BOWMAN SMELKO CEO/Psychologist 406-461-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 394) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |