| NPI | 1922478262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR B EDGCOMB Co Owner, Family Care Coordinator 307-620-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |