High Country Behavioral Health

NPI 1063794394 - Clinic/Center - 261QR0405X

NPI Details
NPI 1063794394
Enumeration Date 09/13/2011
Last Updated 09/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KIPP KIPP
Position EXECUTIVE DIRECTOR
Phone (307) 367-2111
Fax (307) 367-2166
Practice Location
24 COUNTRY CLUB LANE
PINEDALE WY, 82941-0856, US
Phone (307) 367-2111
Fax (307) 367-2166
Business Location
PO BOX 856
PINEDALE WY, 82941-0856, US
Phone (307) 367-2111
Fax (307) 367-2166
Toxanomy
Taxonomy Code 261QR0405X
License State Wyoming
License Number LAT-220
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According to our database, High Country Behavioral Health NPI is 1063794394, taxonomy code is 261QR0405X and license number is LAT-220, license state is located at Wyoming. High Country Behavioral Health physically located at 24 Country Club Lane, Pinedale WY, 82941-0856. NPI Number 1033115704 has the healthcare provider type.

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1063794394 NPI number is provided on an as is basis without warranty of any kind. 1063794394 is maintained by the National Plan & Provider Enumeration System. The contents of High Country Behavioral Health are for informational purposes only.