| NPI | 1518201102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL R EVANS Director 406-338-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT 12946) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MT 12946) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |