| NPI | 1992410096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BETH BANDSTRA Owner 406-223-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-06-07 |