| NPI | 1497890271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTIN Executive Director 406-262-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 259-07) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-09-02 |