| Full Name | Laramie Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 504 S 4th St, Laramie, Wyoming |
| Authorized Official Name and Position | Steve Filton (CFO SR VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laramie Clinic 2521 E 15th St Casper WY 82609-4126 Ph: (307) 237-7444 | Laramie Clinic 504 S 4th St Laramie WY 82070-3704 Ph: (307) 237-7444 |
| NPI Number | 1194153361 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194153361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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