| NPI | 1295379865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIPP DANA Executive Director 307-885-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 207Q00000X Family Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-11-03 |