| NPI | 1427071810 |
|---|---|
| Other Name | BLUE GUMBALLS UNLIMITED PC |
| Entity Type | Organization |
| Authorized Contact | RANDI B LEVIN Licensed Clinical Social Worker 406-443-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT LCSW 478) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-02-18 |