| NPI | 1780980011 |
|---|---|
| Former Legal Business Name | SECOND CHANCE HOMES |
| Entity Type | Organization |
| Authorized Contact | BRENDA K ROCHE Director Of Clinical And Evaluation 406-672-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT 357) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT 357) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MT 357) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MT 357) | |
| 103TC0700X Psychologist, Clinical (Licence: MT 357) | |
| 103TC1900X Psychologist, Counseling (Licence: MT 357) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MT 357) | |
| 103TF0000X Psychologist, Family (Licence: MT 357) | |
| 103TF0200X Psychologist, Forensic (Licence: MT 357) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MT 357) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MT 357) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |