| NPI | 1669022711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE SCHNEIDER Owner 307-247-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |