| NPI | 1275067811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY A LARSON Owner 307-212-8014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-11-08 |