| NPI | 1184740979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WEIDENBACH Director 307-235-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-10-02 |