NPI | 1609634138 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC DARRIL DEES Owner 406-924-3785 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2024-03-11 |
Last Update Date | 2025-08-21 |