| NPI | 1760130330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHET THARPE CEO 406-219-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-02-02 |