| NPI | 1770724874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY LYNN BRAAK Owner 406-327-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MT 11310) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |