NPI 1073972972

Boys & Girls Club of Evanston

Organisation Case Management Agency Evanston, WY

Practice location

Address: 419 4th St, Evanston, WY 82930-3616
Phone: (307) 444-2582

Authorised official

Name: Holly Slade
Title: Ceo
Phone: (307) 444-2582

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Wyoming →

Registry record

NPI: 1073972972
Entity type: Organization
NPI issued: 19 Feb 2016
Record last updated: 19 Feb 2016

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.