NPIMap

Organization Active NPI

Choices , Alcohol, Drug & Behavioral Help Center Inc.

  • Substance Abuse Rehabilitation Facility
  • Evanston, WY
National Provider Identifier
1336583608
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
LAT-199 Issued in WY
Legal business name
CHOICES , ALCOHOL, DRUG & BEHAVIORAL HELP CENTER INC.
Practice address
77 County Road 109
Evanston, WY 82930-9797
Phone
(307) 783-1088
Fax
(307) 783-1028
NPI assigned
Apr 17, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Hansen Boal, BSW NCACII LATNPI 1245622836
Title
Co-Director
Phone
(307) 783-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Substance Abuse Rehabilitation Facility 324500000X LAT-199 WY Primary

Addresses

Primary practice location

77 County Road 109
Evanston, WY 82930-9797

Mailing address

77 County Road 109
Evanston, WY 82930-9797
Phone (307) 783-1088

National Provider Directory

National Provider Directory

Locations

77 County Road 109
Evanston, WY 82930
Phone (307) 783-1018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1336583608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 COUNTY ROAD 109",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309797",
            "telephone_number": "307-783-1088",
            "fax_number": "307-783-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 COUNTY ROAD 109",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309797",
            "telephone_number": "307-783-1088",
            "fax_number": "307-783-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES , ALCOHOL, DRUG & BEHAVIORAL HELP CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HANSEN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "307-783-1088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW NCACII LAT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WY",
            "license": "LAT-199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.