Organization
CG MENTAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D. GAUGER (PRESIDENT)
(307) 254-1818
Entity
Organization
Contact information
Practice address
335 N GILBERT ST, POWELL, WY 82435-2023
(307) 254-1818
Mailing address
PO BOX 427, POWELL, WY 82435-0427
(307) 254-1818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-557
WY
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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