| NPI | 1821449042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GUIDRY CEO, CFO 307-215-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 759) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |