| NPI | 1558735308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI THUESEN Executive Director 406-248-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-02-27 |