| NPI | 1487215059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSILYN JOY OVENELL Speech Language Pathologist 406-531-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |