| NPI | 1265921639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD KINGERY Director Of Counseling 406-794-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-18 |