| NPI | 1720423429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SWANSON Owner 406-274-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: ID M11896) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-06-05 |