| NPI | 1659050375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE K ERDMAN Mental Health Addictions Counselor 307-359-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-04-04 |