| NPI | 1639686462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE MILDENBERGER Owner/Therapist 406-363-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-12274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7731-C) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-03-28 |