| NPI | 1629486865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI KREITZMANN Owner/Director 307-586-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |