NPI 1043644545

Big Horn Basin Association Adolescent Programs

Organisation Foster Care Agency Basin, WY

Practice location

Address: 967 Hwy 20 South, Basin, WY 82410
Phone: (307) 568-2222
Fax: (307) 568-2982
Mailing address: PO Box 858, Basin, WY 82410-0858

Authorised official

Name: Brock Greek
Title: Director
Phone: (307) 568-2222

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 1708G (WY)

Other Foster Care Agency providers in Wyoming →

Registry record

NPI: 1043644545
Entity type: Organization
NPI issued: 3 Sep 2013
Record last updated: 3 Sep 2013

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.