NPI 1093026973
Accredited Case Management
Practice location
- Address
- 3440 E 19th St, Casper, WY 82609-3552
- Phone
- (307) 266-2031
- Fax
- (307) 266-2032
Authorised official
- Name
- Robert Lee Peterson
- Title
- Owner
- Phone
- (307) 267-7224
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1093026973
- Entity type
- Organization
- NPI issued
- 25 Jun 2010
- Record last updated
- 25 Jun 2010
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.