Organization
WHITE BUFFALO RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY GOGGLES (DIRECTOR)
(307) 856-0470
Entity
Organization
Contact information
Practice address
#22 GREAT PLAINS RD, ARAPAHOE, WY 82510
(307) 856-0470
(307) 857-4383
Mailing address
PO BOX 190, ST STEPHENS, WY 82524-0190
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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