| NPI | 1831075076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICCA BERRY Owner / Ped. Nurse Practitioner 406-344-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-09-22 |