| NPI | 1811449564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ROSSIE QUINONES CFO 406-435-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 13345) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2023-01-31 |