| NPI | 1568815124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELAINE GRAHAM Counslor 406-702-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT LCPC1530) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |