| NPI | 1477145902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTYN HOWARD Owner 406-565-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-09-23 |