Organization · Type 2 NPI

Renewal Therapy of Wy, LLC

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

NPI number 1720857030 Active

Practice location

201 W Lakeway Rd Ste 902
Gillette, WY 82718-6345

Fax (307) 381-0493

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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

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About NPI 1720857030

Renewal Therapy of Wy, LLC's National Provider Identifier is 1720857030, issued on Dec 28, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Gillette, WY. The record was last updated on Dec 28, 2023.