| Collaborative Connections | |
|
109 E 17th St Suite 213 Cheyenne WY 82001-4543 | |
| (307) 459-1712 | |
| Not Available |
| Full Name | Collaborative Connections |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 E 17th St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Lori Dickerson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3074217038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Connections 109 E 17th St Suite 213 Cheyenne WY 82001-4543 Ph: (307) 459-1712 | Collaborative Connections 109 E 17th St Suite 213 Cheyenne WY 82001-4543 Ph: (307) 459-1712 |
| NPI Number | 1558731885 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558731885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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