| NPI | 1972624062 |
|---|---|
| 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 (Licence: WY LPC-550) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 261QM0801X (Licence: WY 405) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WY 405) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WY LAT-220) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-06-08 |