| Cg Mental Health Inc. | |
|
335 N Gilbert St Powell WY 82435-2023 | |
| (307) 254-1818 | |
| Not Available |
| Full Name | Cg Mental Health Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 335 N Gilbert St, Powell, Wyoming |
| Authorized Official Name and Position | Christopher D. Gauger (PRESIDENT) |
| Authorized Official Contact | 3072541818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cg Mental Health Inc. Po Box 427 Powell WY 82435-0427 Ph: (307) 254-1818 | Cg Mental Health Inc. 335 N Gilbert St Powell WY 82435-2023 Ph: (307) 254-1818 |
| NPI Number | 1417336470 |
|---|---|
| Provider Enumeration Date | 05/23/2015 |
| Last Update Date | 05/23/2015 |
| Medicare PECOS PAC ID | 4486001674 |
|---|---|
| Medicare Enrollment ID | O20231109001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417336470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-557 (Wyoming) | Primary |
| Provider Name | Christopher Dennis Gauger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932163540 PECOS PAC ID: 2567819758 Enrollment ID: I20231109002831 |
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