| NPI | 1649300567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN E. MCCAULEY Program Director 406-222-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 089288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-09-20 |