NPI | 1437527249 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE L. HOUGARDY Owner 406-853-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MT 1372) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2015-09-10 |