| NPI | 1649497926 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MARY LYNN NEWMAN President 406-542-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MT 11069) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-09-24 |