| Primary Mental Health Llc | |
|
1430 Wilkings Circle Casper WY 82601-1336 | |
| (307) 235-9583 | |
| (307) 265-7277 |
| Full Name | Primary Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1430 Wilkings Circle, Casper, Wyoming |
| Authorized Official Name and Position | Robin Michelle Decastro (OWNER) |
| Authorized Official Contact | 3072593467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Mental Health Llc 301 Thelma Dr Pmb #464 Casper WY 82601-2325 Ph: (307) 259-3467 | Primary Mental Health Llc 1430 Wilkings Circle Casper WY 82601-1336 Ph: (307) 235-9583 |
| NPI Number | 1861624678 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861624678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 18154.0972 (Wyoming) | Primary |
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