OrganizationActive
Volunteers of America Northern Rockies
NPI 1588948673 · Substance Use Disorder Rehabilitation Clinic/Center · Newcastle, WY
Provider details
- NPI number
- 1588948673
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Buckingham, Vp of It and Compliance(307) 672-0475
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
420 Deanne Ave
Newcastle, WY 82701-2936
Phone: (307) 746-4456
Fax: (307) 746-4470
Approximate (ZIP-level) locationGet directions
Mailing address
420 Deanne Ave
Newcastle, WY 82701-2936
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 2023-04-01
- Certified
- 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.