| NPI | 1760071831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAELA IMM Owner 406-272-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2026-08-12 |