Organization
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Active
Other names
Volunteers of America WY & MT
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BUCKINGHAM LCSW, LAT (VP IT AND COMPLIANCE)
(307) 751-7440
Entity
Organization
Contact information
Practice address
223 W ADAMS AVE, RIVERTON, WY 82501-4228
(307) 856-9006
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 672-0475
(307) 672-0476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119889100
—
WY
Enumeration date
07/08/2010
Last updated
06/02/2021
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