PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM is a rehabilitation and substance use disorder clinic center in Cody, WY. PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM NPI is 1245818186. The provider is registered as an organization entity type.
The provider's business location address is:
1501 STAMPEDE AVE STE 2058
CODY, WY
ZIP 82414-728
Phone: (307) 527-1800
Fax: (307) 527-1806
The provider's authorized official is Shannon Votaw .
The authorized official title is Director and has the following contact phone number (307) 527-1801.
The CLIA number assigned to this NPI record is 53D2025084 - other - jail with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/31/2021 and was last updated on 3/31/2021.