NPI | 1457472748 |
---|---|
Former Legal Business Name | HIGH COUNTRY COUNSELING AND RESOURCE CENTERS |
Entity Type | Organization |
Authorized Contact | KIPP L DANA Executive Director 307-885-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WY LPC-550) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WY LAT-220) |
291U00000X Clinical Medical Laboratory | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
207QA0401X Family Medicine, Addiction Medicine | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WY 405) | |
207Q00000X Family Medicine | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-06-08 |