| NPI | 1003470097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANN GEORGE Owner/Lpc 307-575-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-02-01 |