| NPI | 1720604226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PIERCE Owner/Provider 406-407-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-09-06 |