Organization · Type 2 NPI

Mental Health & Recovery Services of Jackson Hole

Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, WY

NPI number 1578635462 Active

Practice location

640 E Broadway Ave
Jackson, WY 83001

Call (307) 733-2046 Map

Fax (307) 733-6289

Mailing address

PO Box 1868, 640 East Broadway
Jackson, WY 83001-1868

Other practice locations

610 W Broadway Ave Ste L-1, Jackson, WY 83001-8213 · (307) 733-3908

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

25 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Jackson

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NPI record

NPI: 1578635462
Entity type: Organization (Type 2)
Issued: Nov 15, 2006
Last updated: Jul 19, 2023
Status: Active

Other names

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Curran-Seeley Foundation · doing business as
Jackson Hole Community Counseling Center · doing business as

Authorized official

Deidre Ashley
Executive Director
(307) 733-2046

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578635462

Mental Health & Recovery Services of Jackson Hole's National Provider Identifier is 1578635462, issued on Nov 15, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jackson, WY. The record was last updated on Jul 19, 2023.