| NPI | 1104073733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE S. ACKERMAN Owner 307-331-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 441) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |