NPI | 1730910183 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYLEIGH CLARK Therapist/Owner 307-235-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-08-08 |