| NPI | 1497019814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE LAURENCE WIDMER Director 406-363-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 838) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |