NPI | 1912613571 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE ANN JOHNSON Owner/Mbr 406-579-5039 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-27 |