| NPI | 1861694119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE AMMONS Clinical Psychologist Sole Proprtr 406-728-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 374) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |