| NPI | 1982002713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR JUSTIN SHORT Owner 406-548-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-8308) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2015-12-29 |