| NPI | 1871731406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M. HEINEMEYER Nursing Manager 307-347-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2015-11-18 |