| NPI | 1518470020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LICHTENSTEIN KEEFER Therapist 406-581-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 509) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |