Organization · Type 2 NPI

Independent

Community/Behavioral Health Agency · Cheyenne, WY

NPI number 1629448790 Active

Practice location

110 Montalto Dr Unit D
Cheyenne, WY 82007-6514

Mailing address

110 Montalto Dr.unit D
Cheyenne, WY 82007-6514

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1629448790

Independent's National Provider Identifier is 1629448790, issued on Oct 1, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cheyenne, WY. The record was last updated on Feb 19, 2016.