| NPI | 1316011562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BARKER Business Manager 307-444-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WY 15163) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WY 15163) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-01-25 |