NPI | 1306459920 |
---|---|
Entity Type | Organization |
Authorized Contact | ROCHELLE SMITH Lcpc 406-212-7359 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-06-21 |