| NPI | 1508380841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT CARPENTER Owner 406-794-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-7367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-18808) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-11-22 |