Provider Demographics
NPI:1043533086
Name:SELF HELP CENTER, INC.
Entity Type:Organization
Organization Name:SELF HELP CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-235-2814
Mailing Address - Street 1:441 S CENTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2855
Mailing Address - Country:US
Mailing Address - Phone:307-235-2814
Mailing Address - Fax:
Practice Address - Street 1:441 S CENTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2855
Practice Address - Country:US
Practice Address - Phone:307-235-2814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health