| NPI | 1831339340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUYLLA JO CLAAR CEO 406-644-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MT 09-14-20300) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |