| NPI | 1902436785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LAFONT Manager 406-529-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-10-01 |