With Eagle's Wings

NPI #1578765749 in Arapahoe, Wyoming

Provider Information

NPI Number: 1578765749
Entity Type: Organization
Organization Name: With Eagle's Wings
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 1, 2007
Last Updated: Aug 23, 2007

Practice Location

Address: 11 GREAT PLAIN ROAD
City: Arapahoe
State: Wyoming
ZIP Code: 82524-0197
Phone: (307) 857-5940

Authorized Official

Name: DR. LEON EDWARD WAKEFIELD, EDD
Title: EXECUTIVE DIRECTOR
Phone: (307) 857-5940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
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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