Organization
MENTAL HEALTH & RECOVERY SERVICES OF JACKSON HOLE
Active
Other names
Jackson Hole Community Counseling Center, Curran-Seeley Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE ASHLEY (EXECUTIVE DIRECTOR)
(307) 733-2046
Entity
Organization
Contact information
Practice address
640 E BROADWAY AVE, JACKSON, WY 83001
(307) 733-2046
(307) 733-6289
Mailing address
PO BOX 1868, 640 EAST BROADWAY, JACKSON, WY 83001-1868
(307) 733-2046
(307) 733-6289
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00708001
BLUSE CROSS BLUE SHIELD
WY
05
—
106872500
—
WY
05
—
106872503
—
WA
05
—
106872504
—
WY
Enumeration date
11/15/2006
Last updated
07/19/2023
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