Individual provider · Type 1 NPI

Scott Clem

Emotionally Disturbed Childrens' Residential Treatment Facility · Gillette, WY

NPI number 1063890341 Active

Practice location

905 N Gurley Ave
Gillette, WY 82716-2109

Call (307) 686-0669 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X020407A2 (WY)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

27 other providers at this address

About NPI 1063890341

Scott Clem's National Provider Identifier is 1063890341, issued on May 7, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Gillette, WY. The record was last updated on May 7, 2015.