Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Recovery Care |
261QR0800X |
| NPI Number | 1164704029 |
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| LBN Legal business name | CLOUD PEAK COUNSELING CENTER | ||||
| Authorized official | MARY JOHNSON - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/15/2011 | ||||
| Last updated | 08/29/2024 - More than a year ago | ||||
| Identifiers |
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