| NPI | 1629618566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKS BAER Owner 406-253-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-10-25 |