| NPI | 1578515235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA POLONCIC Patient Accounting Manager 307-688-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: WY 06-210) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-04-23 |