Southwest Counseling Service

NPI #1447096284 in Evanston, Wyoming

Provider Information

NPI Number
1447096284
Entity Type
Organization
Organization Name
Southwest Counseling Service
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHWEST COUNSELING SERVICE
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Jul 2, 2024
Last Updated
Jul 2, 2024

Practice Location

Address
85 PARK RD APT 2
State
Wyoming
ZIP Code
82930-2624
Phone
(307) 352-6677

Authorized Official

Name
HEATHER GONZALEZ
Title
AR SUPERVISOR
Phone
(307) 352-6677

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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