Organization
VETERAN'S RESILIENCY AND RECOVERY RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE PEARL SMITH LCSW (EXECUTIVE DIRECTOR)
(307) 277-6025
Entity
Organization
Contact information
Practice address
1626 GOSHEN AVE, CHEYENNE, WY 82001-5334
(307) 277-6025
Mailing address
1626 GOSHEN AVE, CHEYENNE, WY 82001-5334
(307) 277-6025
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
924
WY
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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