NPI | 1184854689 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER B JONES-ROBINSON Owner 307-673-4647 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC - 790) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: WY LPC 790) |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WY LPC-790) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WY LAT - 294) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WY LPC - 790) | |
Enumeration Date | 2009-07-17 |
Last Update Date | 2013-02-20 |