| NPI | 1528538931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYNN REED Owner/Counselor 307-299-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-02-09 |