| NPI | 1689902009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JUNKIN Owner 307-324-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 468) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |