| NPI | 1386463420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOUSE Administrator 307-851-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |