NPI | 1427839265 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA KUNTZ CFO 406-500-2139 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-09 |
Last Update Date | 2023-10-09 |