| NPI | 1629575253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDI K BELL Provider/Owner 307-675-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WY LCSW) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |