Organization
MEADOWS OUTPATIENT CENTER WYOMING LLC
Active
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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