OrganizationActive
High Country Behavioral Health
NPI 1174805402 · Recovery Care Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1174805402
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kipp Dana, Executive Director(307) 885-9883
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Practice location
190 Overthrust Rd.
Evanston, WY 82931-2910
Phone: (307) 789-4224
Fax: (307) 789-4225
Approximate (ZIP-level) locationGet directions
Mailing address
190 Overthrust Rd.
Evanston, WY 82931-2910
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.