| NPI | 1386489995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GONZALEZ Ar Supervisor 307-352-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |