| NPI | 1477753366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE V HADDON Solo Owner 406-721-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 289LCSW) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |