| NPI | 1639525702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE MEEKS Manager 307-747-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WY 19520) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |