| NPI | 1962526483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN A. KELLEY Organizer 406-227-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1221-LCPC) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |