| NPI | 1326341827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C MAYOR Executive Director 307-532-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY 1) |
| 253J00000X Foster Care Agency (Licence: WY 1) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 7552A) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2014-10-29 |