| NPI | 1861114258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CONNER Therapist 406-624-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |