| NPI | 1942402318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. FITZPATRICK Owner 406-252-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |