| NPI | 1407123193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN KUNTZELMAN Him 406-994-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: MT 11301) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |