| NPI | 1083060008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN ROSE BROWN Owner 307-413-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY Wy-LCSW-969) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |