Organization
CHEYENNE VAMC
Active
Other names
CHEYENNE VA CARE SITE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(913) 578-4409
Mailing address
PO BOX 94454, CLEVELAND, OH 44101-4454
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
12/12/2017
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