| NPI | 1952584492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTA J SAND Mental Health Therapist 406-855-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MT 1003LCPC) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |