| Cordillera Mental Health Services | |
|
2862 Ardon Ln Casper WY 82609-3900 | |
| (307) 690-0263 | |
| Not Available |
| Full Name | Cordillera Mental Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2862 Ardon Ln, Casper, Wyoming |
| Authorized Official Name and Position | Anna Cummings Rork (OWNER) |
| Authorized Official Contact | 3072642423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordillera Mental Health Services 2862 Ardon Ln Casper WY 82609-3900 Ph: (307) 690-0263 | Cordillera Mental Health Services 2862 Ardon Ln Casper WY 82609-3900 Ph: (307) 690-0263 |
| NPI Number | 1083370258 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/18/2023 |
| Certification Date | 11/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083370258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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