| NPI | 1629384961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HUBBS HJELMSTAD Registered Agent 406-672-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 957LCSW) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-12-28 |