| NPI | 1386885747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATE COOK Director 307-254-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-03-17 |