| NPI | 1295470862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CASTILLO Counselor/Owner 307-374-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2024-06-16 |