| NPI | 1720569213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH GUERETTE Psychotherapist 406-381-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 1059) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |