| NPI | 1881139384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA BODNAR CEO 406-272-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2020-12-07 |