| NPI | 1306419452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHTISHA SUNDE Owner/Employee 406-314-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |