| NPI | 1124764030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA POWERS Pmhnp 307-272-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-10-16 |