IndividualActive
Tammy Van Horn
NPI 1730040981 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gillette, WY
Provider details
- NPI number
- 1730040981
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
615 Townsend
Gillette, WY 82716-3128
Phone: (307) 689-6310
Approximate (ZIP-level) locationGet directions
Mailing address
615 Townsend
Gillette, WY 82716-3128
Registry dates
- Enumerated
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.