| NPI | 1861845083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M HERON Clinician Director 307-851-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WY LCSW) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY LCSW) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |