| NPI | 1992011407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS ALLEN CANFIELD General Surgeon 307-682-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: KS K00-29-6430) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |