| NPI | 1336023381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KORVER Managing Member 406-201-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-11-24 |