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 |