Whalio Doctors

NPI 1194895359

Magic City Enterprises, INC

Organisation Developmentally Disabled Services Day Training Agency Cheyenne, WY

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
Agencies Taxonomy 251C00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X

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.