Organization
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BUCKINGHAM (VP OF IT AND COMPLIANCE)
(307) 672-0475
Entity
Organization
Contact information
Practice address
360 COLLEGE MEADOWS DR, SHERIDAN, WY 82801-9153
(307) 673-2510
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 751-7440
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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