OrganizationActive
Volunteers of America Northern Rockies
NPI 1124302005 · Substance Use Disorder Rehabilitation Clinic/Center · Sundance, WY
Provider details
- NPI number
- 1124302005
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kelly Buckingham, Vp of It and Compliance
Practice location
420 1/2 Main St
Sundance, WY 82729
Phone: (307) 283-3636
Fax: (307) 283-2898
Mailing address
521 W Lott St
Buffalo, WY 82834-1642
Registry dates
- Enumerated
- 2011-10-10
- Last updated
- 2023-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.