| NPI | 1396185351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY BOND MCINTOSH Owner 406-899-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 26716) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-07-22 |