| NPI | 1285417303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS JOSLIN Member 406-594-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-07-30 |