Organization
CHOICES , ALCOHOL, DRUG & BEHAVIORAL HELP CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY HANSEN BOAL BSW NCACII LAT (CO-DIRECTOR)
(307) 783-1088
Entity
Organization
Contact information
Practice address
77 COUNTY ROAD 109, EVANSTON, WY 82930-9797
(307) 783-1088
(307) 783-1028
Mailing address
77 COUNTY ROAD 109, EVANSTON, WY 82930-9797
(307) 783-1088
(307) 783-1028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
LAT-199
WY
Other
Enumeration date
04/17/2013
Last updated
04/30/2013
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