| NPI | 1265133292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN STAEBLER Practice Operations Administrator 406-839-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-11-30 |