| NPI | 1356910210 |
|---|---|
| Former Legal Business Name | AMANDA RASEY WALKER |
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE WALKER Therapist 406-868-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |