| NPI | 1285710533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L. KIHLE Business Manager 307-234-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WY 4515A) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2020-08-22 |