| NPI | 1922152826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA MARIE ROBERSON Director 307-922-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: WY MN0455762) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-01-22 |