| Rite Of Passage Inc | |
|
3304 E I 80 Service Rd Cheyenne WY 82009-8781 | |
| (307) 829-7355 | |
| Not Available |
| Full Name | Rite Of Passage Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3304 E I 80 Service Rd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Rusty E. Alexander (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage Inc 2560 Business Pkwy Ste A Minden NV 89423-8961 Ph: (775) 392-2657 | Rite Of Passage Inc 3304 E I 80 Service Rd Cheyenne WY 82009-8781 Ph: (307) 829-7355 |
| NPI Number | 1366075707 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366075707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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