| NPI | 1649390881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA LOVELAND Admistrative Assistant 406-728-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 621420) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |