| NPI | 1891116117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H LEIGHT President 406-531-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 405) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2022-01-11 |