Whalio Doctors

NPI 1639915739

Pioneer Counseling Services

Organisation Mental Illness Community Based Residential Treatment Facility Evanston, WY

Practice location

Address
85 Park Rd #2-#15, Evanston, WY 82930
Phone
(307) 789-7915
Fax
(307) 789-6009
Mailing address
350 City View Dr STE 206, Evanston, WY 82930-5326

Authorised official

Name
Dorothy Conger
Title
Executive Director
Phone
(307) 789-7915

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1639915739
Entity type
Organization
NPI issued
8 Jul 2024
Record last updated
8 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.