| NPI | 1548082662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSON WILKE President 406-781-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |