| NPI | 1760703474 |
|---|---|
| Other Name | INTERMOUNTAIN CHILD & FAMILY PSYCHOLOGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS CAO 406-457-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2023-11-28 |