| NPI | 1821457821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DENAEYER Owner 307-622-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WY LPC716) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WY 716) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-05-04 |