| NPI | 1982103446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LAPPIN RAINES Ap RN 406-560-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100701) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-05-22 |