| NPI | 1942623178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE K WALTERS Owner/Provider 406-375-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-04-02 |