| NPI | 1003812694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HAYES Executive Director 307-332-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-02-04 |