| NPI | 1407024904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C CORNWELL Admin. Services Mgr. 406-454-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MT 27D0666443) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-20 |