| NPI | 1942078779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA SALAZAR CEO 406-258-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2025-03-12 |