NPI 1003384983

Pas Wyoming

Organisation Case Management Agency Laramie, WY

Practice location

Address: 1465 N 4th St STE 111, Laramie, WY 82072-2066
Phone: (307) 460-0507
Mailing address: PO Box 1630, Laramie, WY 82073-1630

Authorised official

Name: Mark Sparks
Title: Director
Phone: (307) 460-0507

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Wyoming →

Registry record

NPI: 1003384983
Entity type: Organization
NPI issued: 8 Nov 2018
Record last updated: 8 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.