| NPI | 1497803084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LESLIE President 406-728-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 960) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 115184-2501) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |