| NPI | 1578635462 |
|---|---|
| Doing Business As | JACKSON HOLE COMMUNITY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | DEIDRE ASHLEY Executive Director 307-733-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-07-19 |