High Country Behavioral Health

NPI #1255604856 in Evanston, Wyoming

Provider Information

NPI Number: 1255604856
Entity Type: Organization
Organization Name: High Country Behavioral Health
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 14, 2012
Last Updated: Jun 8, 2022

Practice Location

Address: 830 HIGHWAY 150 S
City: Evanston
State: Wyoming
ZIP Code: 82930-5341
Phone: (307) 789-4224

Authorized Official

Name: KIPP DANA, LAT, LPC
Title: EXECUTIVE DIRECTOR
Phone: (307) 885-9883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinical Medical Laboratory	291U00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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