| NPI | 1588014492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA D KENNELLY President 406-209-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 12305) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |