| NPI | 1700473253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A DIESER Clincial Social Worker 406-261-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |