| NPI | 1568114387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYLIN CRAYTHORN Treasurer 406-240-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-01-23 |