| NPI | 1821475765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA EBBA UTZINGER Therapist 406-579-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 555LCSW) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-10-26 |