| NPI | 1689957946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ELIZABETH ABRAMS Licensed Clinical Social Worker 307-733-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WY LCSW-716) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |