| NPI | 1780950253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S FUCHS Owner 307-638-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WY 18740.1004) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-07-11 |