| NPI | 1336919422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MADERA Owner/Counselor 307-459-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-06-05 |