| NPI | 1427603018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN MALONE Owner 406-217-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-02-04 |