| NPI | 1972851038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORI COSNER-BURTON Executive Director 307-265-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 251S00000X) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-02-24 |