| NPI | 1790039246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BOHREN Owner 307-674-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WY 517) | |
| 251S00000X | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2025-01-06 |