| NPI | 1992958714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESSYE-DEE M. CLARK President 406-541-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 9525) |
| Additional Taxonomies | 251S00000X (Licence: MT 29998) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 9525) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MT 29998) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MT 29998) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MT 29998) | |
| 364SP0811X Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill (Licence: MT 29998) | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: MT 29998) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |