| NPI | 1902390651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI KRISTJANSON Owner 406-294-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-09-24 |