| NPI | 1245644707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINE BELCOURT Executive Director 406-268-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 29314) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |