| NPI | 1538486402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA RAE CONNER Substance Abuse Clinician 307-856-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WY LPC-1147) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |