| NPI | 1235776014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT LUNDGREN Executive Director 406-259-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2021-02-23 |