| NPI | 1659516318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ELAINE LAAKMANN Director 307-690-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: WY 399) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |