| NPI | 1417257163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L BUYSE Sole Member 406-252-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 818-LCSW) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |