| NPI | 1619227444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P NELSON Managing Member 307-638-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1352) |
| 101YP2500X Counselor, Professional (Licence: WY 1296) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2014-08-19 |