| NPI | 1760354773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN G MADSON Owner 406-505-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-29 |