| NPI | 1942714902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FLYNN Owner/Lac 406-850-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 0000309) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |