OrganizationActive
Youth Emergency Services
NPI 1275824997 · Children's Substance Abuse Rehabilitation Facility · Gillette, WY
Provider details
- NPI number
- 1275824997
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ann Phillips, Therapist(307) 686-0669
- License
- LPC1150 (WY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
700 Longmont St
Gillette, WY 82716-2927
Phone: (307) 686-0669
Fax: (307) 686-2121
Approximate (ZIP-level) locationGet directions
Mailing address
700 Longmont St
Gillette, WY 82716-2927
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2011-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.