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Organization

CATHEDRAL HOME FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLE HAUSER MSW, LCSW (EXECUTIVE DIRECTOR)
(307) 745-8989
Entity
Organization

Contact information

Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 640-6123
(307) 742-6146
Mailing address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
(307) 742-6146

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility
385HR2055X
Child Mental Illness Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026747700
NE
05
118869104
WY
Enumeration date
10/09/2006
Last updated
09/04/2025
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