NPI | 1518346709 |
---|---|
Entity Type | Organization |
Authorized Contact | KIPP DANA Executive Director 307-885-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0401X Family Medicine, Addiction Medicine | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2023-03-15 |