| NPI | 1346787413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MAHONEY Director 406-443-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MT 0167144) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |