| NPI | 1407391592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PEARL SMITH Executive Director 307-277-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WY 924) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |