| NPI | 1396078713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIE E KELLY Executive Director 406-558-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 829) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |