| NPI | 1457744104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KALOUS Psychotherapist 406-437-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-8801) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |