NPI | 1639701899 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LEE HIPSAK Owner/Provider 307-337-1173 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-02-06 |
Last Update Date | 2024-12-04 |