| NPI | 1891176194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R. BRYSON Member 406-239-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT 762) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-09-23 |