| NPI | 1851841878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISA J MILLER Owner, Counselor 307-248-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY LPC-1605) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |