| NPI | 1598392326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILLIAM BAUM Owner Licensed Clincal Social Worker 406-471-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-05-11 |