NPI 1831581719
Early Intervention Program
Practice location
- Address
- 9 Shipton Lane, Fort Washakie, WY 82514-0610
- Phone
- (307) 332-3516
- Fax
- (307) 332-9116
- Mailing address
- PO Box 610, Fort Washakie, WY 82514-0610
Authorised official
- Name
- Laurene Hines
- Title
- Assistant Director
- Phone
- (307) 332-3516
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1831581719
- Entity type
- Organization
- NPI issued
- 2 Mar 2015
- Record last updated
- 28 Apr 2017
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.