Organization
PRIMARY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN MICHELLE DECASTRO APRN-BC (OWNER)
(307) 259-3467
Entity
Organization
Contact information
Practice address
1430 WILKINGS CIRCLE, CASPER, WY 82601-1336
(307) 235-9583
(307) 265-7277
Mailing address
301 THELMA DR, PMB #464, CASPER, WY 82601-2325
(307) 259-3467
(307) 266-5155
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
18154.0972
WY
Other
Enumeration date
08/12/2009
Last updated
04/26/2012
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