| NPI | 1346792298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH P KRAUSE Mental Health Counselor 307-462-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WY LPC-1217) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |