| NPI | 1447892567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PATTY Owner 406-209-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-12-18 |