NPI | 1538568332 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK DITTON Family Care Coordinator 307-231-5738 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: WY FCC) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2014-08-18 |