| NPI | 1487860730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MILLER Director 406-777-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 746) |
| 251S00000X (Licence: MT 11089) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |