| NPI | 1942492152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. SCHAEFER Medical Director 406-442-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT P10628-09 146173) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2013-07-26 |