| NPI | 1407339401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ADAM STEVENS Executive Director 406-871-6738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-07-06 |