| NPI | 1689400590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN COLMAN Owner 406-565-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |