| NPI | 1306393194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EISENBERG Owner 406-239-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT LCSW 580) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |