Choices , Alcohol, Drug & Behavioral Help Center Inc. | |
77 County Road 109 Evanston WY 82930-9797 | |
(307) 783-1088 | |
(307) 783-1028 |
Full Name | Choices , Alcohol, Drug & Behavioral Help Center Inc. |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 77 County Road 109, Evanston, Wyoming |
Authorized Official Name and Position | Mary Hansen Boal (CO-DIRECTOR) |
Authorized Official Contact | 3077831088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Choices , Alcohol, Drug & Behavioral Help Center Inc. 77 County Road 109 Evanston WY 82930-9797 Ph: (307) 783-1088 | Choices , Alcohol, Drug & Behavioral Help Center Inc. 77 County Road 109 Evanston WY 82930-9797 Ph: (307) 783-1088 |
NPI Number | 1336583608 |
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Provider Enumeration Date | 04/17/2013 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
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1336583608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | LAT-199 (Wyoming) | Primary |
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