| NPI | 1962980581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER REILLY Lcsw 406-204-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MT SWP-LCSW-LIC-8474) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |