Cheyenne Community Drug Abuse Treatment Council, Inc.
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Cheyenne, WY
NPI 1013133198 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013133198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- CHEYENNE COMMUNITY DRUG ABUSE TREATMENT COUNCIL, INC.
- Practice address
- 1920 Thomes Ave
Suite 320
Cheyenne, WY 82001-3542 - Phone
- (307) 635-0256
- Fax
- (307) 635-0967
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Rick Robinson, L.A.T.
- Title
- Executive Director
- Phone
- (307) 635-0256
Practitioners 1
National Provider Directory
Locations
1920 Thomes Ave
Ste 320
Cheyenne, WY 82001
Phone (307) 635-0256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
1920 Thomes Ave
Suite 320
Cheyenne, WY 82001-3542
Mailing address
1920 Thomes Ave
Suite 320
Cheyenne, WY 82001-3542
Phone (307) 635-0256
Other names
- Pathfinder
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.