Organization
MEADOWS OUTPATIENT CENTER WYOMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LIVINGSTON (VP OF REVENUE CYCLE)
(602) 256-3020
Entity
Organization
Contact information
Practice address
1712 PIONEER AVE, CHEYENNE, WY 82001-4406
(928) 684-4083
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(602) 256-3020
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/17/2022
Last updated
02/19/2024
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