| Organization Name: | FREMONT COUNSELING SERVICE |
| NPI Number: | 1003812694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT HAYES (EXECUTIVE DIRECTOR) |
| Mailing Address: | 748 Main St Lander |
| State: | WY US |
| Postal Code: | 825203036 |
| Phone Number: | 3073322231 |
| Fax Number: | 3073329338 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |