| NPI | 1154624112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN NELSON President 307-739-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 287) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |