| NPI | 1407230766 |
|---|---|
| Doing Business As | TETON BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRADOF Owner 307-734-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WY LCSW-837) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |