NPI | 1891026415 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREL A ANDRECHAK Owner 406-622-3406 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 20513 RN) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2010-01-21 |