| NPI | 1336072206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA ROBIN Provisional Clinical Social Worker 307-734-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-08-10 |