| NPI | 1659640290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EUGENE ELROD Owner 406-549-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 6875) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |