| NPI | 1467348102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLENE FAY WHITEMAN Licensed Addiction Counselor 406-861-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-07-02 |