Organization
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BUCKINGHAM (VP OF IT AND COMPLIANCE)
(307) 672-0475
Entity
Organization
Contact information
Practice address
812 E 4TH ST, GILLETTE, WY 82716-4033
(307) 257-7180
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 751-7440
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
01/26/2023
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