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 |