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Organization

BIG HORN BASIN ASSOCIATION ADOLESCENT PROGRAMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BROCK GREEK LCSW (DIRECTOR)
(307) 568-2222
Entity
Organization

Contact information

Practice address
967 HWY 20 SOUTH, BASIN, WY 82410
(307) 568-2222
(307) 568-2982
Mailing address
PO BOX 858, BASIN, WY 82410-0858
(307) 568-2222
(307) 568-2982

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1708G
WY

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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