NPI | 1376279059 |
---|---|
Other Name | PART |
Entity Type | Organization |
Authorized Contact | MARGARET E. (BETH) ALLEN Director Of Billing 307-773-8237 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2022-07-26 |
Last Update Date | 2022-07-26 |