NPI 1083740369

Developmental Preschool and Day Care Center

Organisation Clinic/Center Laramie, WY

Practice location

Address: 1771 Centennial Drive, Laramie, WY 82070
Phone: (307) 742-3571
Fax: (307) 742-6397
Mailing address: 1771 Centennial Drive Suite 220, Laramie, WY 82070

Authorised official

Name: Jaime Stine
Title: Executive Director
Phone: (307) 742-3571

Registered specialties (2)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Wyoming →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wyoming →

Registry record

NPI: 1083740369
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 20 Jan 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.