| NPI | 1467701300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON FRANKLIN BROOKER Executive Director 406-371-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-06-28 |