| NPI | 1548659113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI DALY CEO 406-532-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MT 13459) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: MT 90514) |
| 1041C0700X Social Worker Clinical (Licence: MT 13459) | |
| 1041C0700X Social Worker Clinical (Licence: MT 90514) | |
| 207RA0401X Internal Medicine Addiction Medicine (Licence: MT 13459) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MT 90514) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MT 13459) | |
| 363A00000X Physician Assistant (Licence: MT 13459) | |
| 363A00000X Physician Assistant (Licence: MT 90514) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 13459) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 90514) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2018-02-16 |