| NPI | 1922579218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCEY SANT FAIRCHILD Owner/Clinician 406-599-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |