| NPI | 1457619876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW V HOPKINS Owner 307-586-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WY 7349A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WY 7349A) |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: WY 7349A) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2016-04-19 |