| NPI | 1477745370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE M BENNETTS CEO 406-494-4183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MT 11262) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2011-06-30 |