| NPI | 1396165841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D HAKERT Counselor 406-248-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 3345) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-05-16 |