| NPI | 1801092366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA DIANE CRAGO Owner 406-543-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MT 1300PT) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-06-17 |