| NPI | 1265552822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SNELL Execuitive Director 406-259-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MT 11087) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |