| NPI | 1245754266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIE SPRING FITZGERALD Owner 406-459-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT BBH-LCSW-LIC-28) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |