| NPI | 1821756404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE DAVIS CEO 406-201-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 175T00000X Peer Specialist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP1700X Nurse Practitioner, Perinatal | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-11-06 |