| NPI | 1487260188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNETTE CONWAY Founder, Clinical Psychologist 307-399-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-11-04 |