Primary Mental Health Llc | |
1430 Wilkings Circle Casper WY 82601-1336 | |
(307) 235-9583 | |
(307) 265-7277 |
Full Name | Primary Mental Health Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1430 Wilkings Circle, Casper, Wyoming |
Authorized Official Name and Position | Robin Michelle Decastro (OWNER) |
Authorized Official Contact | 3072593467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Mental Health Llc 301 Thelma Dr Pmb #464 Casper WY 82601-2325 Ph: (307) 259-3467 | Primary Mental Health Llc 1430 Wilkings Circle Casper WY 82601-1336 Ph: (307) 235-9583 |
NPI Number | 1861624678 |
---|---|
Provider Enumeration Date | 08/12/2009 |
Last Update Date | 04/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861624678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 18154.0972 (Wyoming) | Primary |
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