| NPI | 1467840389 |
|---|---|
| Doing Business As | CENTRAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JEANINE E. GRIFFIN CEO 406-869-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 28537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 36449) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 32201) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |