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