| NPI | 1861145245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ALLISON BOYLAN Private Practice Mental Health 406-239-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-11-09 |