Organization
TRIANGLE CROSS RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL POLLARD MORSO (PROGRAM DIRECTOR)
(307) 254-4191
Entity
Organization
Contact information
Practice address
428 ROAD 1AF, POWELL, WY 82435-8103
(307) 645-3322
(307) 645-3030
Mailing address
428 ROAD 1AF, POWELL, WY 82435-8103
(307) 645-3322
(307) 645-3030
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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