| NPI | 1265943559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH URSCHEL Owner 406-493-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-25295) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |