| NPI | 1427827989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETUNDE FADEYIBI Nurse Practitioner 406-296-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-02-18 |