| NPI | 1225483704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDI NICOLE FARNAM Owner 406-565-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005216) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-08-08 |