| NPI | 1750803417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARAE SUE STIBITZ Owner/Therapist 307-200-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |