| NPI | 1902223753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN DAWN GRUSSLING CEO 406-361-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 2303) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2019-08-27 |