| NPI | 1003234774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN SCHROLL Onwer 307-640-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LCSW 731) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-06-19 |