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Organization
CLOUD PEAK COUNSELING CENTER
Active
Organization
CLOUD PEAK COUNSELING CENTER
Active
Other names
Washakie Mental Health Services, Oxbow Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN JOHNSON (CEO)
(307) 250-2369
Entity
Organization
Contact information
Practice address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
WY
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352900
—
WY
05
—
106352903
—
WY
05
—
106352904
—
WY
05
—
106352905
—
WY
05
—
106352906
—
WY
05
—
106352907
—
WY
05
—
106352908
—
WY
Enumeration date
10/26/2006
Last updated
08/29/2024
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