Organization
JACKSON HOLE BEHAVIORAL SERVICES, LLC
Active
Other names
Peak Behavioral Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DICKEY (DIRECTOR)
(715) 829-5195
Entity
Organization
Contact information
Practice address
1050 N 3RD ST, LARAMIE, WY 82072-2544
(715) 829-5195
Mailing address
PO BOX 20310, UNIT# 55984, CHEYENNE, WY 82003-7007
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1-12-11844
—
Other
Enumeration date
05/04/2015
Last updated
10/05/2022
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