| NPI | 1659760924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BANGERTER Owner, Therapist 307-321-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0011885) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |