| NPI | 1801234141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D AMENDE Clerk And Recorder 406-436-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-11-27 |