# YELLOWSTONE RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720401383
- **Authorized official:** SHAWNA CHANDLER LCSW (DIRECTOR)
- **Authorized official phone:** (307) 586-3725

## Contact information

- **Practice address:** 137 BELFRY HWY, CODY, WY 82414-9524
- **Practice address phone:** (307) 586-3725
- **Mailing address:** 137 BELFRY HWY, CODY, WY 82414-9524
- **Mailing address phone:** (307) 586-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | WY | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | WY | — |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 04/29/2014