| Organization Name: | CHEYENNE COMMUNITY DRUG ABUSE TREATMENT COUNCIL, INC. |
| NPI Number: | 1013133198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK ROBINSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1920 Thomes Ave Suite 320 Cheyenne |
| State: | WY US |
| Postal Code: | 820013542 |
| Phone Number: | 3076350256 |
| Fax Number: | 3076350967 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |