| NPI | 1861729535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE HARTLESS Manager 406-830-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT 12754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management (Licence: MT 12127) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2024-10-30 |