| NPI | 1528364965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY OLSEN President 406-600-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 870) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |