NPI | 1396578902 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA M NEWMAN COO 307-444-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |