| NPI | 1699229682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS VAILLANCOURT Owner 406-546-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |