| NPI | 1225483431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DENAEYER Owner 307-622-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 716) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |