| NPI | 1912936634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAAREN L. RIZOR Executive Director 406-784-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-03-20 |