| NPI | 1366702995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH FAIRBANK Director 406-827-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-10-07 |