| NPI | 1750987103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D SIMKINS-ARIS CEO 307-214-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-08-24 |