| NPI | 1669645966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D WALSH Owner 406-490-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 1258 LCPC) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |