| NPI | 1679614341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SPRADLIN Sole Proprietor 406-862-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 604) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-01-08 |