| NPI | 1902393036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE HAYES CEO 406-698-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-06-12 |