| NPI | 1811572647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JANE FAHLSTROM Owner/Clinical Social Worker 406-219-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-04-24 |