| NPI | 1861279507 |
|---|---|
| Doing Business As | SARINA WILSON |
| Entity Type | Organization |
| Authorized Contact | SARINA SUE WILSON Nurse Practitioner, Owner 406-641-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-11-29 |