Organization
PERSONAL FRONTIERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY BETH BERTONCELJ (EXECUTIVE DIRECTOR)
(307) 686-1189
Entity
Organization
Contact information
Practice address
310 S MILLER AVE, GILLETTE, WY 82716-3944
(307) 686-1189
(307) 682-8649
Mailing address
PO BOX 754, GILLETTE, WY 82717-0754
(307) 686-1189
(307) 682-8649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WY
Other
Enumeration date
08/29/2008
Last updated
10/18/2010
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