| NPI | 1417336470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D. GAUGER President 307-254-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LCSW-557) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |