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Icbm Inc
Substance Abuse Rehabilitation Facility in Rock Springs, Wyoming
NPI 1205369576

Icbm Inc is a Substance Abuse Rehabilitation Facility based in Rock Springs, WY. Icbm Inc practices in Rock Springs, WY. The NPI Number for Icbm Inc is 1205369576 and holds a License No. (Wyoming).

The current practice location address for Icbm Inc is 1501 Red Tail Dr, Rock Springs, WY and can be reached out via phone at 307-362-6029 and via fax at 307-362-2379.

Location: 1501 Red Tail Dr, Rock Springs, WY, 82901-5241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205369576
Provider Name
Icbm Inc
Credential
Provider Entity Type
Organization
Address
1501 Red Tail Dr, Rock Springs, WY, 82901-5241
Phone Number
307-362-6029
Fax Number
307-362-2379
Provider Enumeration Date
04/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 Red Tail Dr
City
Rock Springs
State
Wyoming
Zip
82901-5879
Phone Number
307-362-6029
Fax Number
307-362-2379
person
Provider Business Mailing Address Details
Address
1501 Red Tail Dr
City
Rock Springs
State
Wyoming
Zip
82901-5879
Phone Number
307-362-6029
Fax Number
307-362-2379
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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