Organization
CENTRAL WYOMING COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WHITE (CHIEF FINANCIAL OFFICER)
(307) 237-9583
Entity
Organization
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106049010
—
WY
05
—
235254100
—
WY
Enumeration date
06/09/2005
Last updated
03/25/2025
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