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Mountain Regional Services, INC

Day Training, Developmentally Disabled Services in Evanston, WY. Organization (NPI-2).

NPI number1962573782
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1962573782
Entity type
Organization (NPI-2)
Legal business name
Mountain Regional Services, INC
Organization subpart
No
Enumeration date
Nov 13, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
103TC0700X Psychologist, Clinical––
103TM1800X Psychologist, Intellectual & Developmental Disabilities––
101YM0800X Counselor, Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Other names

  • Cornerstone Behavioral Health (Doing Business As)

Practice location

50 Allegiance Cir
Evanston, WY 82930-3804

Phone 307-789-3710 · Fax 307-789-0823

Mailing address

Po Box 6005
Evanston, WY 82931-6005

Phone 307-789-3710 · Fax 307-789-0823

Authorized official

John Holderegger
Ceo
3077893710

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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