Organization
YOUR SERVICE ANIMAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS HARPER JORDAN (FOUNDER)
(206) 414-8461
Entity
Organization
Contact information
Practice address
1095 SUGARVIEW DR STE 100, SHERIDAN, WY 82801-5386
(307) 429-4563
Mailing address
1095 SUGARVIEW DR STE 100, SHERIDAN, WY 82801-5386
(307) 429-4563
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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