| NPI | 1841610359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ROSE EVANS Administrator 406-949-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 101Y00000X Counselor | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-04-09 |