| NPI | 1720658842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN FALLS Business Manager 307-349-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |