| NPI | 1740604057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN LOOS President & CEO 307-630-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 251B00000X Case Management (Licence: WY 663) | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-10-08 |