| NPI | 1891171435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STAMBORSKI Therapist 406-892-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT 1103) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MT 1103) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 1183) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |