Mountain Regional Services, Inc.

NPI #1851502397 in Evanston, Wyoming

Provider Information

NPI Number
1851502397
Entity Type
Organization
Organization Name
Mountain Regional Services, Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
May 25, 2007
Last Updated
Oct 29, 2009

Practice Location

Address
50 ALLEGIANCE CIR
State
Wyoming
ZIP Code
82930-3804
Phone
(307) 789-3710

Authorized Official

Name
JOHN HOLDEREGGER, MA
Title
CEO
Phone
(307) 789-3710

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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