| NPI | 1972099752 |
|---|---|
| Other Name | LISA TALCOTT |
| Entity Type | Organization |
| Authorized Contact | LISA TALCOTT CEO 406-224-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT LCSW708) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-07-07 |