| NPI | 1275674608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMITH Office Operations Finance Manager 307-577-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251K00000X Public Health or Welfare | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-05-12 |