| NPI | 1659873610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY PERKINS Owner/Operator 406-860-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 137) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1229) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-04-24 |