| NPI | 1871985275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY LYNN CARTER Owner 307-363-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1395) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY 347) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-25 |