| NPI | 1497260921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI R RUSSELL Owner 406-431-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1231) | |
| 101YM0800X Counselor, Mental Health (Licence: MT 554) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 554) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-03-17 |