Organization
CLOUD PEAK COUNSELING CENTER
Active
Other names
Washakie Mental Health Services, Oxbow Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN JOHNSON (CEO)
(307) 250-2369
Entity
Organization
Contact information
Practice address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
WY
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352900
—
WY
05
—
106352903
—
WY
05
—
106352904
—
WY
05
—
106352905
—
WY
05
—
106352906
—
WY
05
—
106352907
—
WY
05
—
106352908
—
WY
Enumeration date
10/26/2006
Last updated
08/29/2024
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