| Organization Name: | PEAK WELLNESS CENTER INC |
| NPI Number: | 1073753752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA S HAY (HR DIRECTOR) |
| Mailing Address: | 1954 W Mariposa Pkwy Wheatland |
| State: | WY US |
| Postal Code: | 822013102 |
| Phone Number: | 3073223190 |
| Fax Number: | 3073223198 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 09/16/2009 |
| 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: | |