Mental Health & Recovery Services of Jackson Hole

NPI #1578635462 in Jackson, Wyoming

Provider Information

NPI Number: 1578635462
Entity Type: Organization
Organization Name: Mental Health & Recovery Services of Jackson Hole
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 15, 2006
Last Updated: Jul 19, 2023

Practice Location

Address: 640 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-2046

Authorized Official

Name: DEIDRE ASHLEY
Title: EXECUTIVE DIRECTOR
Phone: (307) 733-2046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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