| NPI | 1457634040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA NESSLINGER Counselor 307-755-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-992) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |