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 |