| NPI | 1861012866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNKIA CHRISTINA FOWLER Owner 307-797-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-02-15 |