NPI | 1861510281 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON WHITE Chief Financial Officer 307-237-9583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2025-03-25 |