| NPI | 1134587306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRY RYAN BURTON President 307-272-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1028) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |