| NPI | 1730826892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLLE MICHELLE BELLERIVE Owner/Provider 406-223-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-30 |