| NPI | 1326342023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA R MILLER President 307-234-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 603) |
| Additional Taxonomies | 251S00000X |
| 103TC0700X Psychologist, Clinical (Licence: WY 465) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2015-05-01 |