Organization
CIARA CORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ACKERMAN M.A., LPC (DIRECTOR)
(307) 426-4021
Entity
Organization
Contact information
Practice address
433 E 19TH ST, CHEYENNE, WY 82001-4991
(307) 426-4021
Mailing address
433 E 19TH ST, CHEYENNE, WY 82001-4991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
10/17/2023
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