| NPI | 1265066500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE S MCCRACKEN Business Manager 406-304-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-26 |