| NPI | 1023741766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCGEE Owner/Operator 307-399-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-11-16 |