| NPI | 1437696382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A LENZ License Professional Counselor 307-461-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LPC 1614) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-07-26 |