| NPI | 1356032387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BETH GOLDBERG Acnp/Pmhnp 406-498-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-10-06 |