NPI | 1619629912 |
---|---|
Doing Business As | SILVER SAGE PSYCHIATRY LLC |
Entity Type | Organization |
Authorized Contact | MARISHA VANVLEET CEO 307-288-2329 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-01-19 |