NPI | 1477070738 |
---|---|
Doing Business As | SWEETGRASS PSYCHOLOGICAL A SERVICES |
Entity Type | Organization |
Authorized Contact | SARA BOILEN Owner 406-662-1771 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MT 1196) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 18309) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2022-07-21 |