| NPI | 1821587304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE ROSSO SEABROOK Licensed Clinical Social Worker 406-360-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-12361) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |