| NPI | 1831971217 |
|---|---|
| Doing Business As | WADING WATERS THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | DESTINY DAWN DEVINE Clinical Therapist 406-750-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |