| NPI | 1477864510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BROWN STEVENS President,Onlyofficer,Only Employee 307-332-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 7534A) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |