Cloud Peak Initiatives Inc.

NPI #1972889764 in Sheridan, Wyoming

Provider Information

NPI Number: 1972889764
Entity Type: Organization
Organization Name: Cloud Peak Initiatives Inc.
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 151 W BRUNDAGE ST
City: Sheridan
State: Wyoming
ZIP Code: 82801-4217
Phone: (307) 674-1668

Authorized Official

Name: MR. GARY MELVIN SMALL, MPA
Title: OFFICE MANAGER
Phone: (307) 674-1668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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