| NPI | 1861815581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN B COLLINS Clinical Therapist 307-472-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-524) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-02-07 |