| NPI | 1407245756 |
|---|---|
| Other Name | YBGR |
| Entity Type | Organization |
| Authorized Contact | MIKE CHAVERS CEO 406-655-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT SWP-LCPC-LIC-8348) |
| Additional Taxonomies | 251S00000X (Licence: MT SWP-LCPC-LIC-11057) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2017-01-10 |