| NPI | 1770676447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGANN K HAEFFNER Administrator 406-496-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-09-30 |