NPI 1487052080

Michael Morso

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Powell, WY

Practice location

Address: 428 Road 1af, Powell, WY 82435-8103
Phone: (307) 645-3322
Fax: (307) 645-3030

Registered specialties (4)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1487052080
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2014
Record last updated: 12 Dec 2014

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.