| NPI | 1588404511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JANAE WRAY-MARCHETTI CEO 307-352-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |