| NPI | 1497098172 |
|---|---|
| Former Legal Business Name | FORMERLY YOUR BIRTHRIGHT, LLC |
| Entity Type | Organization |
| Authorized Contact | MELANIE LENNON Midwife 307-202-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: WY 10) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-02-06 |