| NPI | 1598287005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE NEWTON Sole Member 406-315-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-LIC-3175) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |