| NPI | 1891152344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L DENAEYER Counselor 307-756-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WY 716) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |