| NPI | 1164783916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA S COWPER Mental Health Counseling 307-399-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY PPC-581) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |