| NPI | 1740644418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W CUNNINGHAM Principal 406-252-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 47) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |