| NPI | 1851116396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE L DEFELICE Owner/Operator 406-602-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |