NPI | 1356852800 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MCCORMICK Executive Director 406-206-5552 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-13151) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2022-06-27 |