Organization
CLOUD PEAK COUNSELING CENTER
Active
Other names
Oxbow Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN JOHNSON (CEO)
(307) 250-2369
Entity
Organization
Contact information
Practice address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352908
—
WY
Enumeration date
09/15/2011
Last updated
08/29/2024
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