| NPI | 1568172229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MERBACK Owner 406-530-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-05-19 |