| NPI | 1770734220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D WIMBERLY Therapist 406-582-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: MT 318) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |