| NPI | 1861510281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WHITE Chief Financial Officer 307-237-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-02-20 |