NPI | 1902311269 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTINA K HAGEN Lcsw 406-926-1231 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-18186) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2017-12-08 |