| NPI | 1760201982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JOAN FORAN Executive Director 406-540-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |