High Country Behavioral Health
Clinic/Center, Mental Health (Including Community Mental Health Center) in Evanston, WY. Organization (NPI-2).
NPI number1255604856
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1255604856
- Entity type
- Organization (NPI-2)
- Legal business name
- High Country Behavioral Health
- Organization subpart
- No
- Enumeration date
- Feb 14, 2012
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
830 Highway 150 SEvanston, WY 82930-5341
Phone 307-789-4224 · Fax 307-789-4225
Mailing address
830 Highway 150 SEvanston, WY 82930-5341
Phone 307-789-4224 · Fax 307-789-4225
Authorized official
Kipp Dana
Executive Director
3078859883
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