| NPI | 1245069798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA-MARIE J SQUIRES Owner 406-600-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |