| Courage To Change Llc | |
|
113 S Gillette Ave Ste 200 Gillette WY 82716-3740 | |
| (307) 756-2956 | |
| Not Available |
| Full Name | Courage To Change Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 113 S Gillette Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Barbara L Denaeyer (COUNSELOR) |
| Authorized Official Contact | 3077562956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Change Llc 805 Mountain View Dr Apt 107 Gillette WY 82716-2339 Ph: (307) 756-2956 | Courage To Change Llc 113 S Gillette Ave Ste 200 Gillette WY 82716-3740 Ph: (307) 756-2956 |
| NPI Number | 1891152344 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891152344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 716 (Wyoming) | Primary |
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