| NPI | 1255889424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE FLYNN CEO, Co Owner 307-399-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW 447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 902) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |