| NPI | 1770319618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J DAVENPORT Clinical Director 406-590-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |