| NPI | 1710563036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WILSON Licensed Addiction Counselor 406-839-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |