Organization
PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON VOTAW MJA (DIRECTOR)
(307) 527-1801
Entity
Organization
Contact information
Practice address
1501 STAMPEDE AVE STE 2058, CODY, WY 82414-4728
(307) 527-1800
(307) 527-1806
Mailing address
PO BOX 906, CODY, WY 82414-0906
(307) 527-1800
(307) 527-1806
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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