NPI | 1669095204 |
---|---|
Entity Type | Organization |
Authorized Contact | BETHANY ARMSTRONG Owner 307-352-9161 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-05-18 |
Last Update Date | 2022-10-18 |