Veteran'S Resiliency and Recovery Ranch, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

924 Issued in WY

Legal business name

VETERAN'S RESILIENCY AND RECOVERY RANCH, INC.

Practice address

1626 Goshen Ave
Cheyenne, WY 82001-5334

Phone

(307) 277-6025

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Danielle Pearl Smith, LCSW

Title

Executive Director

Phone

(307) 277-6025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1407391592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 GOSHEN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015334",
            "telephone_number": "307-277-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 GOSHEN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015334",
            "telephone_number": "307-277-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN'S RESILIENCY AND RECOVERY RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-277-6025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WY",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Verburg, PT, DPT, ATC
• Aaron Brent Vernon, DPT
• Veronica Pedersen, LCSW, LLC
• Versavault Transport Services LLC
• Veteran Home Care LLC
• Veterans Affairs Medical Center
• Maren Lyn Vetter
• Suzanne Michelle Vetter
• Angela Vigil
• Desirae Christina Vigil

• Mental Illness Community Based Residential Treatment Facility in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Mental Illness Community Based Residential Treatment Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.