| NPI | 1235586967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDEN EUGENE GREEN Owner/Clinician 406-552-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0181451) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-07-19 |