| NPI | 1912412412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE LEWIS Vice President Operations 406-647-2980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MA DD0P-005) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |