Organization
PEAK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MATHIAS KAISER (HR DIRECTOR)
(307) 632-9362
Entity
Organization
Contact information
Practice address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
Mailing address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106079105
—
WY
Enumeration date
03/09/2009
Last updated
08/18/2020
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