| NPI | 1376773770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CAROL WOODWARD Director 307-202-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: WY 4292005) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-03-16 |