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General NPI Number Information
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NPI Number | 1841481603
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Entity Type | Organization
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Legal Business Name | YOUTH CRISIS CENTER, INC.
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 915 S MCKINLEY ST
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City | CASPER
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State | WY
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Zip | 82601-3440
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Country | US
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Telephone | 307-577-5718
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Fax | 307-577-5716
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Provider Business Mailing Address
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Address Line | 915 S MCKINLEY ST
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City | CASPER
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State | WY
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Zip | 82601-3440
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Country | US
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Telephone | 307-577-5718
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Fax | 307-577-5716
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DICK DRESANG
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Credential |
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Telephone | 307-577-5718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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