| NPI | 1619341153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL R SKAGGS Owener 406-590-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X (Licence: MT c237723-1432791) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-10-23 |