| NPI | 1598234858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYN JANELLE MAERZ Chairman 406-300-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-09-27 |