NPI | 1790039246 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE BOHREN Owner 307-674-1520 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 517) |
Additional Taxonomies | 101Y00000X Counselor |
251S00000X | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2021-11-02 |