| NPI | 1003647280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MIKEL TINSLEY President 307-290-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-09-09 |