NPI | 1699965913 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT BRYAN RIVER President 406-883-8126 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 328) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2008-11-19 |