Organization
WYOMING BEHAVIORAL INSTITUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL W. PATTON MA PPC (THERAPIST)
(307) 237-7444
Entity
Organization
Contact information
Practice address
2521 EAST 15TH ST, CASPER, WY 82602
(307) 237-7444
Mailing address
1327 EAST 19TH ST., CASPER, WY 82601
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
215957
WY
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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