| NPI | 1023263159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN JORGENSEN Mental Health Therapist/Co Owner 307-233-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WY LPC726) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |