| NPI | 1518469048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BILLOW CEO 406-270-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT PSY-PSY-LIC-1268) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT PSY-PSY-LIC-1268) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |