NPI 1831442201
Region V Board of Cooperative Educational Services
Practice location
- Address
- 3850 North Wilderness Drive, Wilson, WY 83025
- Phone
- (307) 733-8210
- Fax
- (307) 733-8462
- Mailing address
- PO Box 240, Wilson, WY 83014-0240
Authorised official
- Name
- Mayling H Sumicad
- Title
- Occupational Therapist
- Phone
- (307) 733-8210
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1831442201
- Entity type
- Organization
- NPI issued
- 22 Oct 2012
- Record last updated
- 22 Oct 2012
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.