| Behavioral Health Services | |
|
501 S Burma Ave 5th Floor Gillette WY 82716-3426 | |
| (307) 688-5000 | |
| (307) 688-5015 |
| Full Name | Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Gerard Klein (COO) |
| Authorized Official Contact | 3076881551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Po Box 392967 Pittsburgh PA 15251-9967 Ph: () - | Behavioral Health Services 501 S Burma Ave 5th Floor Gillette WY 82716-3426 Ph: (307) 688-5000 |
| NPI Number | 1881730141 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 2860392529 |
|---|---|
| Medicare Enrollment ID | O20231031002873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881730141 | NPI | - | NPPES |
| Provider Name | Mary J Maymana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457558868 PECOS PAC ID: 3577759885 Enrollment ID: I20101129001059 |
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