NPI | 1760130330 |
---|---|
Entity Type | Organization |
Authorized Contact | CHET THARPE CEO 406-219-7835 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
Enumeration Date | 2022-03-14 |
Last Update Date | 2024-08-29 |