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
223 W ADAMS AVE, RIVERTON, WY 82501-4228
(307) 856-9006
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 672-0475
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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