| NPI | 1245877372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA J STARR Owner 406-544-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |