| NPI | 1851055941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTIN HUSSAIN Program Director 406-657-2354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |