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 |