| NPI | 1285006379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GROATE Chief Business Officer 307-675-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-11-06 |