| NPI | 1760425821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BOHREN President 307-674-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-355) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-11-02 |