| NPI | 1083477491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE GENTRY COO 307-222-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-07-26 |