| NPI | 1477738615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN HOWARD BACKER President 406-587-9558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MT 80) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |