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Mountain Regional Services, Inc
Substance Use Disorder Rehabilitation Clinic/Center in Evanston, Wyoming
NPI 1962573782

Mountain Regional Services, Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Evanston, WY and is specialized in Rehabilitation, Substance Use Disorder. Mountain Regional Services, Inc practices in Evanston, WY. The NPI Number for Mountain Regional Services, Inc is 1962573782 and holds a License No. (Wyoming).

The current practice location address for Mountain Regional Services, Inc is 50 Allegiance Cir, Evanston, WY and can be reached out via phone at 307-789-3710 and via fax at 307-789-0823. You can also correspond with Mountain Regional Services, Inc through the mailing address at PO BOX 6005, EVANSTON, WY - 82931-6005 (mailing address contact number: 307-789-3710).

Location: 50 Allegiance Cir, Evanston, WY, 82931-6005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962573782
Provider Name
Mountain Regional Services, Inc
Credential
Provider Entity Type
Organization
Address
50 Allegiance Cir, Evanston, WY, 82931-6005
Phone Number
307-789-3710
Fax Number
307-789-0823
Provider Enumeration Date
11/13/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
50 Allegiance Cir
City
Evanston
State
Wyoming
Zip
82930-3804
Phone Number
307-789-3710
Fax Number
307-789-0823
person
Provider Business Mailing Address Details
Address
50 Allegiance Cir
City
Evanston
State
Wyoming
Zip
82930-3804
Phone Number
307-789-3710
Fax Number
307-789-0823
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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