| NPI | 1932229523 |
|---|---|
| Former Legal Business Name | EASTERN WYOMING MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PEGGY HAYES Executive Director 307-358-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-02-26 |