| NPI | 1902240070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MEYERS Director 307-332-6805 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2024-02-07 |