| NPI | 1497273452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYDI MUUS Biller/Credentialin 406-672-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 4466) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |