| NPI | 1194230193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SCHLEDEWITZ Mental Health Therapist 307-202-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |