NPI: 1376700351
Provider Name: NORTHWEST WYOMING TREATMENT CENTER
Former Legal Business Name: VERNON CLEGG CONDIE YOUTH HOMES, INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
1106 JULIE LN
POWELL, WY
ZIP 82435
Phone: (307) 271-7460
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NORTHWEST WYOMING TREATMENT CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in Powell, WY. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. NORTHWEST WYOMING TREATMENT CENTER NPI is 1376700351. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Vernon Clegg Condie Youth Homes, Inc..
The provider's business location address is:
1106 JULIE LN
POWELL, WY
ZIP 82435-632
Phone: (307) 271-7460
The provider's authorized official is Ty Barrus .
The authorized official title is Director and has the following contact phone number (307) 271-7460.
The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.