| NPI | 1871031831 |
|---|---|
| Other Name | YBGR CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE CHAVERS CEO 406-655-1209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-06-15 |