| NPI | 1629448790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBRI MONIQUE VAHAI Family Support Partner 307-287-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-02-19 |