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 |