| NPI | 1760981096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GILMORE Director 406-431-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MT 327) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-03-16 |