NPI | 1457173171 |
---|---|
Doing Business As | PHC DBA FRIENDS OF THE CHILDREN MISSOULA |
Entity Type | Organization |
Authorized Contact | LARA SALAZAR CEO 406-258-3360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-10-25 |
Last Update Date | 2025-02-21 |