| NPI | 1376280743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A WILLIAMS Owner 307-222-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-11-15 |