NPI 1578685863

C-V Ranch Region V Boces

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Wilson, WY

Practice location

Address: 3850 N. Wilderness Dr., Wilson, WY 83014
Phone: (307) 733-8210
Mailing address: PO Box 240, Wilson, WY 83014-0240

Authorised official

Name: Dennis Donohue
Title: Executive Director
Phone: (307) 733-8210

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wyoming →

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Wyoming →

Registry record

NPI: 1578685863
Entity type: Organization
NPI issued: 6 Apr 2007
Record last updated: 11 Sep 2025

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.