| NPI | 1770399867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KINDLE Owner 307-751-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |