Organization
NORMATIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WILLANDT (EXECUTIVE DIRECTOR)
(307) 674-6878
Entity
Organization
Contact information
Practice address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Mailing address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
6190
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320502
—
MT
05
—
118971902
—
WY
Enumeration date
09/07/2011
Last updated
09/07/2011
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