| NPI | 1063233682 |
|---|---|
| Doing Business As | KERRY COLLINS, LCSW |
| Entity Type | Organization |
| Authorized Contact | KERRY COLLINS Owner 307-287-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-29 |