Volunteers of America Northern Rockies

NPI #1124302005 in Sundance, Wyoming

Provider Information

NPI Number: 1124302005
Entity Type: Organization
Organization Name: Volunteers of America Northern Rockies
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Oct 10, 2011
Last Updated: Apr 1, 2023

Practice Location

Address: 420 1/2 MAIN ST
City: Sundance
State: Wyoming
ZIP Code: 82729
Phone: (307) 283-3636

Authorized Official

Name: KELLY BUCKINGHAM
Title: VP OF IT AND COMPLIANCE
Phone: (307) 684-5531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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