| NPI | 1396235818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ROAN Owner 406-281-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 90531) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-06-20 |