| NPI | 1124204433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS O MAYER Manager 307-673-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WY 6950A) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |