NPI | 1629833660 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE GUTHRIE LARKIN Owner 406-396-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-03-06 |