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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