| NPI | 1659776870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE DAHL Counselor 406-945-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT SWP-LCPC-LIC-8583) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |