Jackson Hole Behavioral Services, LLC

NPI #1881071355 in Laramie, Wyoming

Provider Information

NPI Number
1881071355
Entity Type
Organization
Organization Name
Jackson Hole Behavioral Services, LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
May 4, 2015
Last Updated
Oct 5, 2022

Practice Location

Address
1050 N 3RD ST
State
Wyoming
ZIP Code
82072-2544
Phone
(715) 829-5195

Authorized Official

Name
BRAD DICKEY
Title
DIRECTOR
Phone
(715) 829-5195

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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