| NPI | 1750113882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M NEWMAN COO 307-444-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |