| NPI | 1306106018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO SKORDAL Owner/Manager 406-202-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN30828) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-06-06 |