| Organization Name: | BIG HORN BASIN COUNSELING SERVICES |
| NPI Number: | 1629352406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUTUMN M SNYDER (ADMINISTRATIVE ASSISTANT I.) |
| Mailing Address: | 1114 Lane 12 Lovell |
| State: | WY US |
| Postal Code: | 824319555 |
| Phone Number: | 3075486543 |
| Fax Number: | 3075486565 |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 09/28/2011 |
| 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: | |