| NPI | 1689854523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES BROCK President 307-733-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 7758A) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |