| NPI | 1457486276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY A REID Owner 406-922-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MT 10470) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-11-13 |