Organization
NORTHWEST WYOMING TREATMENT CENTER
Active
Organization
NORTHWEST WYOMING TREATMENT CENTER
Active
Other names
Vernon Clegg Condie Youth Homes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY BARRUS LCSW (DIRECTOR)
(307) 271-7460
Entity
Organization
Contact information
Practice address
1106 JULIE LN, POWELL, WY 82435-1632
(307) 271-7460
Mailing address
1106 JULIE LN, POWELL, WY 82435-1632
(307) 271-7460
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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