| NPI | 1427754092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE YOUNG Member/Manager 406-241-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |