OrganizationActive
Renewal Therapy of Wy, LLC
NPI 1720857030 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gillette, WY
Provider details
- NPI number
- 1720857030
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Hudson, Owner(307) 209-4649
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
201 W Lakeway Rd Ste 902
Gillette, WY 82718-6345
Phone: (307) 209-4649
Fax: (307) 381-0493
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Lakeway Rd Ste 902
Gillette, WY 82718-6345
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.