| NPI | 1346481132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATHIAS KAISER Hr Director 307-632-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2020-08-18 |