| NPI | 1902948946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PRESTON Acting CEO 406-454-6973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 101YM0800X Counselor Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-03-15 |