| NPI | 1295077311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES BURROWS Provider 406-969-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-2329) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2015-02-20 |