| NPI | 1245400787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. PATENAUDE Director 406-549-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT 315) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |