Organization
ARK REGIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY MARTIN (VP - FINANCE)
(307) 742-6641
Entity
Organization
Contact information
Practice address
1150 N 3RD ST, LARAMIE, WY 82072
(307) 742-6641
(307) 742-9203
Mailing address
1150 N 3RD ST, LARAMIE, WY 82072-2514
(307) 742-6641
(307) 742-9203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128101
—
WY
Enumeration date
10/28/2009
Last updated
09/07/2018
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