| NPI | 1558847384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MARIANI Owner/Operator 406-314-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 11384) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |