| NPI | 1427301134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY HAUG Owner 307-214-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 383) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 149) |
| 103TC0700X Psychologist, Clinical (Licence: CO 2661) | |
| 1041C0700X Social Worker, Clinical (Licence: WY 74) | |
| 101YP2500X Counselor, Professional (Licence: WY 906) | |
| 106H00000X Marriage & Family Therapist (Licence: WY 112) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-12-03 |