| NPI | 1568998326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SKATES Owner 307-899-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1024) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WY LCSW-1024) |
| 101YP2500X Counselor Professional (Licence: WY LCSW-1024) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |