NPI | 1417493883 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHY ROGERS Owner 406-396-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-656) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-20257) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-01-10 |