| NPI | 1285689539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ABEL President 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 26597) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-04-29 |