| NPI | 1073970349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN FRAZIER STRAESSLER Owner 307-620-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LPC-1139) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |