| NPI | 1528218617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HERZOG Counselor 406-587-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 1334-LCPC) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |