| NPI | 1639821713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGANNE J ANDERSON Owner/Operator/Clinician 406-214-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |