Organization
COMMUNITY MENTAL HEALTH SERVICES
Active
Parent organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Authorized official
MR. PETER EDIS (EXECUTIVE DIRECTOR)
(307) 688-5022
Entity
Organization
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5000
(307) 688-5015
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-5000
(307) 688-5015
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/08/2011
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