| NPI | 1609198795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN M NELSON Director 406-240-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |