| NPI | 1821149352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN POWELL CEO 406-761-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT C163927-719079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 982) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-01-29 |