OrganizationActive
Community Mental Health Services
NPI 1780968743 · Substance Use Disorder Rehabilitation Clinic/Center · Gillette, WY
Provider details
- NPI number
- 1780968743
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Campbell County Hospital District
- Organization subpart
- Yes
- Authorized official
- Peter Edis, Executive Director(307) 688-5022
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-5000
Fax: (307) 688-5015
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3011
Gillette, WY 82717-3011
Registry dates
- Enumerated
- 2011-10-07
- Last updated
- 2011-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.