| NPI | 1255503074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A JOHNSON President 307-382-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2015-04-14 |