| NPI | 1750892436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JACOBSON CEO 307-462-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2018-10-26 |