| NPI | 1588946727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ACKER Excutive Director 307-352-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |