| NPI | 1275826919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATHIAS KAISER Hr Director 307-632-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-08-18 |