NPI | 1750642526 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA GOLDENSOHN Psychologist 307-733-8210 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: WY 3) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2022-07-21 |