| Peak Wellness Center Inc | |
|
510 W 29th St Cheyenne WY 82001-2760 | |
| (307) 634-9653 | |
| Not Available |
| Full Name | Peak Wellness Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 W 29th St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Robert Mathias Kaiser (HR DIRECTOR) |
| Authorized Official Contact | 3076329362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Wellness Center Inc Po Box 1005 Cheyenne WY 82003-1005 Ph: (307) 634-9653 | Peak Wellness Center Inc 510 W 29th St Cheyenne WY 82001-2760 Ph: (307) 634-9653 |
| NPI Number | 1639314305 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639314305 | NPI | - | NPPES |
| 106079107 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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