Northern Wyoming Mental Health Center, Inc.

NPI 1093090656 - Clinic/Center - 261QR0405X

NPI Details
NPI 1093090656
Enumeration Date 10/14/2011
Last Updated 12/04/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PAUL E. PAUL
Position EXECUTIVE DIRECTOR
Phone (307) 674-5534
Fax (307) 672-9302
Practice Location
1701 W 5TH ST
SUITE C
SHERIDAN WY, 82801-2748, US
Phone (307) 674-5534
Fax (307) 672-9302
Business Location
1701 W 5TH ST
SUITE C
SHERIDAN WY, 82801-2748, US
Phone (307) 674-5534
Fax (307) 672-9302
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, Northern Wyoming Mental Health Center, Inc. NPI is 1093090656, taxonomy code is 261QR0405X Northern Wyoming Mental Health Center, Inc. physically located at 1701 W 5th St, Sheridan WY, 82801-2748. NPI Number 1033115704 has the healthcare provider type.

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1093090656 NPI number is provided on an as is basis without warranty of any kind. 1093090656 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Wyoming Mental Health Center, Inc. are for informational purposes only.