| NPI | 1447971288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SISE Chief Medical Officer 406-219-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |