| NPI | 1154622355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E MACLEAN Executive Director 307-766-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 287) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |