Organization
COMMUNITY MENTAL HEALTH CENTER OF WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCNIVEN (DIRECTOR)
(307) 272-9224
Entity
Organization
Contact information
Practice address
3928 ROAD 9, BURLINGTON, WY 82411-9731
(307) 272-9224
Mailing address
3928 ROAD 9, BURLINGTON, WY 82411-9731
(307) 272-9224
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC-860
WY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LPC-860
WY
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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