| NPI | 1912309592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ELOISE CORDIAL Marriage And Family Therapist 406-721-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT LMFT-4491) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MT LCPC-4492) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |