| NPI | 1245985126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HURD Owner 406-208-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-05-19 |