| NPI | 1669667275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA J NELSON Therapist 406-293-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 799LCSW) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |