Northwest Wyoming Treatment Center

NPI #1376700351 in Powell, Wyoming

Provider Information

NPI Number
1376700351
Entity Type
Organization
Organization Name
Northwest Wyoming Treatment Center
Primary Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008

Practice Location

Address
1106 JULIE LN
City
Powell
State
Wyoming
ZIP Code
82435-1632
Phone
(307) 271-7460

Authorized Official

Name
MR. TY BARRUS, LCSW
Title
DIRECTOR
Phone
(307) 271-7460

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children

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