NPI | 1154141133 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TANNER Executive Director 307-330-6634 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2024-10-14 |
Last Update Date | 2024-10-14 |