| NPI | 1376183525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL OWEN WAVRICK Owner/Employee 406-945-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-12-29 |