| NPI | 1457687162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBERT EAGLEFEATHERS Director 406-782-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2015-03-05 |