| NPI | 1164675484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR EDWARD DEHN Administrator 307-674-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |