With Eagle'S Wings in St Stephens - Rehabilitation, Substance Use Disorder

With Eagle'S Wings - NPI 1578765749

With Eagle'S Wings is a Rehabilitation, Substance Use Disorder in St Stephens, . With Eagle'S Wings practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for With Eagle'S Wings is 1578765749. The last update date is 2007-08-23.

With Eagle'S Wings's current location address is Po Box 197, St Stephens, . You can contact this provider via phone number 3078575940 and fax number 3078575932. The mailing address for With Eagle'S Wings is Po Box 197, St Stephens, . To know further, please read the information below!

Provider Profile Detail

Provider Organization With Eagle'S Wings
Address Po Box 197, St Stephens,
Phone Number 3078575940
Fax Number 3078575932
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Wakefield Edward Leon
Credentials EDD
Telephone Number 3078575940

NPI Number Detail

NPI Number 1578765749
Provider Enumeration Date 2007-06-01
Last Updated Date 2007-08-23

Provider Mailing Address Detail

Address Po Box 197
City St Stephens
State (WY)
Post Code 825240197
Phone Number 3078575940
Fax Number 3078575932

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about With Eagle'S Wings

What is the unique 10-digit identification code issued to With Eagle'S Wings by the Centers for Medicare & Medicaid Services?

The With Eagle'S Wings has been assigned the NPI (National Provider Identifier) 1578765749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where With Eagle'S Wings is located?

The With Eagle'S Wings is situated at the following address: Po Box 197, St Stephens, WY, 825240197.

What is With Eagle'S Wings's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for With Eagle'S Wings is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.

On what date did the With Eagle'S Wings receive the assignment of its 1578765749 from the Centers for Medicare & Medicaid Services?

The With Eagle'S Wings was issued its 1578765749 by the Centers for Medicare & Medicaid Services on 2007-06-01.

When was the information pertaining to With Eagle'S Wings most recently updated or revised?

The details related to With Eagle'S Wings, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-23.

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