| NPI | 1386991065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENETTE KOSOVICH CEO 406-248-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 12982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 12982) |
| 106H00000X Marriage & Family Therapist (Licence: MT 12982) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |