OrganizationActive
Volunteers of America Northern Rockies
NPI 1942056593 · Mental Illness Community Based Residential Treatment Facility · Gillette, WY
Provider details
- NPI number
- 1942056593
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michelle Kinohi, Sr. Director Medical Billing(307) 426-4727
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1299 Raymond St
Gillette, WY 82718-6980
Phone: (307) 682-8505
Fax: (307) 682-2447
Approximate (ZIP-level) locationGet directions
Mailing address
510 W 29th St
Cheyenne, WY 82001-2760
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.