| NPI | 1639477045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LOVE Clinical Director 406-829-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT 519) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |