| NPI | 1588722383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN P DOBSON WANDEL Supervisor 406-225-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MT 6901) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-03-01 |