Organization
YOUTH CRISIS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HULSHIZER (EXECUTIVE DIRECTOR)
(307) 577-5718
Entity
Organization
Contact information
Practice address
1656 E 12TH ST, CASPER, WY 82601-4004
(307) 577-5718
(307) 577-5716
Mailing address
1656 E 12TH ST, CASPER, WY 82601-4004
(307) 577-5718
(307) 577-5716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-1164
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
11/02/2023
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