| NPI | 1477049567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN NESS Owner 307-509-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY 373) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |