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Organization

ASCENSION HEALTH NETWORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY VILLENEUVE (BUSINESS DIRECTORR)
(307) 287-1184
Entity
Organization

Contact information

Practice address
1208 E PERSHING BLVD, CHEYENNE, WY 82001-3230
(307) 287-1184
(307) 635-1897
Mailing address
PO BOX 22496, CHEYENNE, WY 82003-2429
(307) 287-1184
(307) 635-1897

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
03/09/2016
Last updated
02/08/2017
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