| NPI | 1740537422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENETTE KOSOVICH CEO 406-248-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 12982) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |