| NPI | 1699238725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIANA WILSON Mental Health Therapist 406-219-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2026-06-09 |