| NPI | 1467801969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LORRAINE WEAKS Licensed Clinical Prof. Counselor 406-544-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-7654) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |