NPI 1912298639

Youth Emergency Services

Organisation Children's Substance Abuse Rehabilitation Facility Gillette, WY

Practice location

Address: 700 Longmont St, Gillette, WY 82716-2927
Phone: (307) 686-0669
Fax: (307) 686-2121

Authorised official

Name: Bonnie D Crawford
Title: Therapist
Phone: (307) 686-0669

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X Licence LPC-1130 (WY)

Other Substance Abuse Rehabilitation Facility providers in Wyoming →

Registry record

NPI: 1912298639
Entity type: Organization
NPI issued: 28 Apr 2011
Record last updated: 28 Apr 2011

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.