| NPI | 1295921583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH M. BLACK Partner 406-449-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 31) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |