| NPI | 1457173684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WOODARD Owner 307-689-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |