| NPI | 1952700049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WILCOCK CEO 406-431-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MT NUR-RN-LIC-18568) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-19 |