| NPI | 1467016683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE WICKHAM SAWITKE Owner/Fnp Pmhnp 406-396-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-03-07 |