Whalio Doctors

NPI 1437328663

Northeast Wyoming Boces

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Gillette, WY

Practice location

Address
410 N Miller Ave, Gillette, WY 82716-2929
Phone
(307) 682-0231
Fax
(307) 686-7628

Authorised official

Name
Laurie L Walsh
Title
Business Manager
Phone
(307) 682-0231

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 124 (WY)

Registry record

NPI
1437328663
Entity type
Organization
NPI issued
21 Feb 2008
Record last updated
21 Feb 2008

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.