| NPI | 1922146323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYDA HAMANN CEO 307-587-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 13276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 261) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |