NPI | 1619097755 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH MILATZO-JENSEN Director Of Administration 307-778-7832 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 1633R) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WY 1633R) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |