| NPI | 1912230160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY L BARNES Provider / Owner 406-926-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 699) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 423) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2016-10-05 |