NPI | 1861729535 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SHEA HENNELLY Administrator 406-830-3294 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 12754) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251B00000X Case Management (Licence: MT 12127) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2009-11-17 |
Last Update Date | 2021-03-30 |