| NPI | 1588966584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT EDWARD GILLEO Owner 406-240-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management (Licence: MT LCPC 1009) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-02-25 |