| NPI | 1730183617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WHITE Chief Financial Officer 307-237-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2024-02-20 |