| NPI | 1982178315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR BECKER President/Lac 406-475-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |