| NPI | 1760714422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVET LOCKLIN Owner 307-267-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-01-09 |