| NPI | 1730955519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HORTON Owner/Licsw 307-254-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |