Organization
PEAK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MATHIAS KAISER (HR DIRECTOR)
(307) 632-9362
Entity
Organization
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 635-2797
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 635-2797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106079100
—
WY
Enumeration date
11/03/2009
Last updated
08/18/2020
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