| NPI | 1891890034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WILEY Nursing Manager 307-765-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WY 08-082) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY 08-082) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-06-30 |