NPI | 1568636066 |
---|---|
Entity Type | Organization |
Authorized Contact | DEL A DENTON Owner 406-259-2413 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 472LCPC) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 576 LAC) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2009-11-13 |