| NPI | 1770754178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE THOMPSON Provider/Owner 406-863-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1021) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |