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Organization

CATHEDRAL HOME FOR CHILDREN

Active
Other names
Cathedral Home for Children
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE HAUSER MSW, LCSW (EXECUTIVE DIRECTOR)
(307) 745-8997
Entity
Organization

Contact information

Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Mailing address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
261QM0855X
Adolescent and Children Mental Health Clinic/Center
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026747700
NE
05
83-069092
WY
Enumeration date
06/25/2018
Last updated
09/04/2025
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