| NPI | 1376248997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAGMAN Supervisor 406-581-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |