| NPI | 1164650917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA JACOBS-CASTANO Owner 307-755-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW 176) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-03-21 |