Magellan Healthcare of Wyoming

NPI #1184176430 in Riverton, Wyoming

Provider Information

NPI Number
1184176430
Entity Type
Organization
Organization Name
Magellan Healthcare of Wyoming
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Nov 2, 2016
Last Updated
Nov 2, 2016

Practice Location

Address
625 E MADISON AVE STE 6
State
Wyoming
ZIP Code
82501-4712
Phone
(307) 851-3955

Authorized Official

Name
LINDA HERON, M.D.
Title
MANAGING DIRECTOR
Phone
(307) 851-3955

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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