NPI 1194895359
Magic City Enterprises, INC
Practice location
- Address
- 1780 Westland Rd, Cheyenne, WY 82001-3322
- Phone
- (307) 637-8869
- Fax
- (307) 638-0467
Authorised official
- Name
- Mandy Jane Liley
- Title
- Vice President of Business Services
- Phone
- (307) 637-8869
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
Clinical Psychologist
Registry record
- NPI
- 1194895359
- Entity type
- Organization
- NPI issued
- 8 Nov 2006
- Record last updated
- 17 Sep 2020
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.