| NPI | 1225412919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J BURROWS Therapist 406-969-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT SWP-LCSW-LIC-4449) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-LAC-LIC-1424) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |