NPI | 1871030882 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN THOMAS HUEMPFNER Owner 406-333-1866 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 18861) |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2022-02-10 |