OrganizationActive
Icbm Inc
NPI 1205369576 · Substance Abuse Rehabilitation Facility · Rock Springs, WY
Provider details
- NPI number
- 1205369576
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Elina Chernyak, Medical Director(970) 306-2737
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1501 Red Tail Dr
Rock Springs, WY 82901-5879
Phone: (307) 362-6029
Fax: (307) 362-2379
Approximate (ZIP-level) locationGet directions
Mailing address
126 Elk St
Rock Springs, WY 82901-5241
Other names (DBA / former)
- Doing business as
- Arc of Wyoming
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2017-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.