| NPI | 1861511669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BOLTON Director 406-563-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MT RN11730) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-09-25 |