| NPI | 1659545168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MARIE GROSULAK Owner 406-855-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1114 LCPC) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2009-11-13 |