| NPI | 1205064185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL WILLIAM MICHAEL Mental Health Counselor 307-352-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 101ym0000x) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |