| NPI | 1619337151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ROGERS Owner/Therapist 307-421-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-502) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |