| NPI | 1124521547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHA M POTTER Owner, Therapist 307-578-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1090) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2021-08-24 |