| NPI | 1992306682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA NICOLE WHITE Licensed Psychologist 406-551-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |