| NPI | 1689716227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY W SAMSON President And CEO 307-672-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 709001) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |