| NPI | 1528765088 |
|---|---|
| Doing Business As | DEEP ROOTS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE REYNOLDS President 406-498-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-07-01 |