| NPI | 1871953976 |
|---|---|
| Other Name | KRISTINA M. MINER |
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIE MINER Sole Member 406-544-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT 999) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2019-01-21 |