| NPI | 1922342146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY A. JOHNSON Director 406-856-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 201-13) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |