Organization
BIG HORN BASIN ASSOCIATION ADOLESCENT PROGRAMS
Active
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
Update your record
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