| NPI | 1609390509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELLIE NEWMAN-NOON Manager 406-763-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-02-17 |