| NPI | 1689693566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOSEPH MORLEDGE-HAMPTON Medical Director 406-672-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MT 10586) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |