| NPI | 1346844701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE LANE CEO 307-287-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-08-21 |