| NPI | 1477728731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PITTACK Owner 406-255-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 797 LCPC) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2009-11-13 |