| NPI | 1467791293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB LOGAN Owner/Licensed Professional Counsel 307-426-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-455) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WY LPC-455) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |