| Adonai Mental Health Services | |
|
707 W 8th St Gillette WY 82716-4108 | |
| (307) 685-8255 | |
| (888) 852-8319 |
| Full Name | Adonai Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 707 W 8th St, Gillette, Wyoming |
| Authorized Official Name and Position | Susan P Walla (NURSE PRACTITIONER) |
| Authorized Official Contact | 3076858255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adonai Mental Health Services 707 W 8th St Gillette WY 82716-4108 Ph: (307) 685-8255 | Adonai Mental Health Services 707 W 8th St Gillette WY 82716-4108 Ph: (307) 685-8255 |
| NPI Number | 1366878977 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 10/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366878977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 29650.1122 (Wyoming) | Primary |
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