| NPI | 1932948478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK A. GREENE Licensed Clinical Social Worker 406-529-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-10-22 |