Yellowstone Recovery Center

NPI #1720401383 in Cody, Wyoming

Provider Information

NPI Number: 1720401383
Entity Type: Organization
Organization Name: Yellowstone Recovery Center
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 31, 2014
Last Updated: Apr 29, 2014

Practice Location

Address: 137 BELFRY HWY
City: Cody
State: Wyoming
ZIP Code: 82414-9524
Phone: (307) 586-3725

Authorized Official

Name: SHAWNA CHANDLER, LCSW
Title: DIRECTOR
Phone: (307) 586-3725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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