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 |