| NPI | 1972022903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R WELTON Owner 406-581-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-19038) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-07-25 |