Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALFREDO ANTILLON
Active Sole ProprietorMR. ALFREDO ANTILLON is a Behavioral Health, Residential healthcare provider located in GREEN RIVER, Wyoming. NPI 1538366505 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · GREEN RIVER, WY
Registration Details
- NPI Number
- 1538366505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2007 (19.088813384006 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
720 WIND RIVER DRBGREEN RIVER, WY, 829355725Browse WY providers · Browse ZIP 82935
- Phone
- 3078755781
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in GREEN RIVER, WY
| Name | Credential | NPI |
|---|---|---|
| MARIA ANTILLON | — | 1215131420 |
| MS. MARYA NICOLE JOHNS | — | 1417127887 |
| CATHIE L. HUGHES | M.A., M.C.J. | 1629301437 |
| LORRENE DANNIELLE SANDBAK | — | 1376497099 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.