| 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) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-08-18 |