Organization
INDEPENDENT
Active
Organization
INDEPENDENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBRI MONIQUE VAHAI (FAMILY SUPPORT PARTNER)
(307) 287-6110
Entity
Organization
Contact information
Practice address
110 MONTALTO DR UNIT D, CHEYENNE, WY 82007-6514
(307) 287-6110
Mailing address
110 MONTALTO DR.UNIT D, CHEYENNE, WY 82007-6514
(307) 287-6110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
02/19/2016
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