| NPI | 1780992065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA MAUREEN ARCHIBALD Owner/Operater 406-431-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MT 302R00000X) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |