| NPI | 1861778987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS CAO 406-457-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-11-28 |