| NPI | 1760290811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SCOTT BALSAM Owner, President/Provider 406-860-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |