| NPI | 1669921532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C WOODWARD Executive Director 307-645-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-02-20 |