NPI | 1851512750 |
---|---|
Doing Business As | WELLSPRING COUNSELING |
Entity Type | Organization |
Authorized Contact | KIPP DANA Chief Executive Office (CEO) 307-885-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0401X Family Medicine, Addiction Medicine | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2024-06-07 |