NPI | 1578920120 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BAIN Co Executive Director 406-586-7689 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MT LCPC4673) |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |