| NPI | 1013448273 |
|---|---|
| Other Name | CHEYENNE VA CARE SITE |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-12-12 |