| NPI | 1417581125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POLLARD MORSO CEO 307-254-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |