| NPI | 1164456315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN E SOPRON President 307-752-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW531) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-15 |