NPI | 1396411997 |
---|---|
Entity Type | Organization |
Authorized Contact | CARTER BARNHART CEO 406-219-7835 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
251S00000X | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-01-05 |