| NPI | 1457718934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ANTHONY President 406-551-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT psy-psy-lic-1484) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2025-11-17 |