| NPI | 1295725844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ORRIN PEARSON Therapist 307-752-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY 413) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2024-07-26 |