| NPI | 1699942003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN IRVINE Executive Directo 307-548-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LCSW #289) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |