| NPI | 1437309424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J DAVIS Owner/Manager 406-899-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 236) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2011-09-24 |