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Organization

SOUTHWEST COUNSELING SERVICE

Active
Parent organization
SOUTHWEST COUNSELING SERVICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHWEST COUNSELING SERVICE
Authorized official
HEATHER GONZALEZ (AR SUPERVISOR)
(307) 352-6677
Entity
Organization

Contact information

Practice address
3416 WHITE MOUNTAIN BLVD, ROCK SPRINGS, WY 82901-4729
(307) 352-6677
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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