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Rite of Passage Inc

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Cheyenne, WY

NPI 1669956223 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1669956223
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
RITE OF PASSAGE INC
Practice address
3304 E I 80 Service Rd
Cheyenne, WY 82009-8781
Phone
(307) 829-7355
NPI assigned
Sep 19, 2018
Organization subpart
Yes
Parent organization (as reported)
RITE OF PASSAGE, INC

Authorized official

Name
Rusty E. Alexander
Title
Business Managing Director
Phone
(775) 392-2639

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

National Provider Directory

Tax ID family
Rite of Passage Inc (42 organizations share this tax ID)
Part of
Rite of Passage Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

3304 E I 80 Service Rd
Cheyenne, WY 82009-8781

Mailing address

2560 Business Pkwy Ste a
Minden, NV 89423-8961
Phone (775) 392-2657

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Substance Use Disorder Rehabilitation Clinic/Center in Wyoming

Sources for this page

Verify at the official NPI Registry.