| NPI | 1396612453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH PHILIP MILLER Owner/Psychotherapy Provider 307-200-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |