| NPI | 1740852623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BRAAKSMA Licensed Clinical Social Worker 406-920-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |