| NPI | 1982917167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAY JENNINGS Owner 406-721-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 76552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1286) |
| 163W00000X Registered Nurse (Licence: MT RN8886) | |
| 101YP2500X Counselor, Professional (Licence: MT 240) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 328) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-07-21 |