NPI | 1386007888 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIGAIL NELSON Owner 307-760-4128 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LCSW-779) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |