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Volunteers Of America Northern Rockies

Clinic/Center, Rehabilitation, Substance Use Disorder in Sundance, WY. Organization (NPI-2).

NPI number1124302005
StatusActive
Last updated in NPPESSep 24, 2026

Details

NPI
1124302005
Entity type
Organization (NPI-2)
Legal business name
Volunteers Of America Northern Rockies
Organization subpart
No
Enumeration date
Oct 10, 2011
Certification date
Sep 24, 2026
Last updated
Sep 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder–WYYes

Practice location

106 N 5th St
Sundance, WY 82729-5039

Phone 307-283-3636 · Fax 307-283-2898

Mailing address

Po Box 1005
Cheyenne, WY 82003-1005

Phone 307-426-4727

Authorized official

Kelly Buckingham
Vp Of It And Compliance
3076845531

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